A Better Understanding of Axillary Lymph Node Dissection in the Era of Sentinel Lymph Node Biopsy
Autor: | Angela Sandru, Alexandru Blidaru, Aniela Noditi, Lacramioara Paula Borangic, C Bordea, Silviu Cristian Voinea |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Sentinel Lymph Node Biopsy Sentinel lymph node Axillary Lymph Node Dissection Breast Neoplasms Gold standard (test) medicine.disease Dissection Breast cancer Treatment Outcome Biopsy Axilla medicine Humans Lymph Node Excision Surgery Radiology business Early breast cancer Neoplasm Staging |
Zdroj: | Chirurgia (Bucharest, Romania : 1990). 116(2) |
ISSN: | 1221-9118 |
Popis: | Axillary lymph node dissection (ALND) was and still is an important part of breast cancer treatment despite the fact the sentinel lymph node biopsy (SLNB) has revolutionized breast cancer surgery. SLNB provides the same prognostic information as ALND but with significantly less morbidity. The results of numerous trials conducted over the past 20 years have crowned SLNB as the gold standard for early breast cancer treatment. ALND represents a very standardized intervention with precise landmarks and boundaries. An accurate technique and a good knowledge of axillaA¢AÂA anatomy are mandatory for a correct and complete ALND. But even with a meticulous and careful technique of dissection, a comprehensive ALND may be associated with important morbidity. Nowadays ALND indications are continuously evolving, but the procedure has still an indisputable place in breast cancer treatment. |
Databáze: | OpenAIRE |
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