کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4280961 | 1611567 | 2009 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Accurate axillary lymph node dissection is feasible after neoadjuvant chemotherapy Accurate axillary lymph node dissection is feasible after neoadjuvant chemotherapy](/preview/png/4280961.png)
BackgroundRecently, lower axillary lymph node retrieval after neoadjuvant chemotherapy was reported. We did not have this experience, and retrospectively analyzed our axillary lymph node dissections (ALNDs).MethodsOne hundred ninety-one patients who had ALND after neoadjuvant chemotherapy were compared with 192 patients with primary ALND after a positive sentinel node biopsy.ResultsThere were no differences in the mean number of nodes retrieved between the neoadjuvant group and the primary surgery group: 16.3 (range 4–38) and 15.8 (range 6–33), respectively (P = .4); or in the retrieval of fewer than 10 lymph nodes: 13/191 (7%) and 11/192 (6%) (P = .7). The number of cases with retrieval of more than 20 lymph nodes was higher in the neoadjuvant group: 42/191 (22%) versus 26/192 (13%) (P = .03). In the neoadjuvant group, 150/191 (79%) patients had residual lymph node metastasis after neoadjuvant chemotherapy.ConclusionOur results show the feasibility and need to remove enough lymph nodes to provide precise prognostic information and adequate local control.
Journal: The American Journal of Surgery - Volume 198, Issue 1, July 2009, Pages 46–50