International Journal of Breast Cancer最新文献

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The Impact of Locoregional Therapy in Nonmetastatic Inflammatory Breast Cancer: A Population-Based Study. 局部治疗对非转移性炎性乳腺癌的影响:一项基于人群的研究。
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-06-03 eCollection Date: 2018-01-01 DOI: 10.1155/2018/6438635
Mahvish Muzaffar, Helen M Johnson, Nasreen A Vohra, Darla Liles, Jan H Wong
{"title":"The Impact of Locoregional Therapy in Nonmetastatic Inflammatory Breast Cancer: A Population-Based Study.","authors":"Mahvish Muzaffar,&nbsp;Helen M Johnson,&nbsp;Nasreen A Vohra,&nbsp;Darla Liles,&nbsp;Jan H Wong","doi":"10.1155/2018/6438635","DOIUrl":"https://doi.org/10.1155/2018/6438635","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory breast cancer (IBC) is a rare but most aggressive breast cancer subtype. The impact of locoregional therapy on survival in IBC is controversial.</p><p><strong>Methods: </strong>Patients with nonmetastatic IBC between 1988 and 2013 were identified in the Surveillance, Epidemiology, and End Results (SEER) registry.</p><p><strong>Results: </strong>We identified 7,304 female patients with nonmetastatic inflammatory breast cancer (IBC) who underwent primary tumor surgery. Most patients underwent total mastectomy with only 409 (5.6%) undergoing a partial mastectomy. In addition, 4,559 (62.4%) were also treated with radiation therapy. The patients who underwent mastectomy had better survival compared to partial mastectomy (49% versus 43%, <i>p</i> = 0.003). The addition of radiation therapy was also associated with improved 5-year survival (55% versus 40%, <i>p</i> < 0.001). Multivariate analysis showed that black race HR (1.22, 95% CI 1.18-1.35), ER negative status (HR 1.22, 95% CI 1.16-1.28), and higher grade (HR 1.14, 95% CI 1.07-1.20) were associated with poor outcome. Cox proportional hazards model showed that total mastectomy (HR 0.75, 95% CI 0.65-0.85) and radiation (HR 0.64, 95% CI 0.61-0.69) were associated with improved survival.</p><p><strong>Conclusions: </strong>Optimal locoregional therapy for women with nonmetastatic IBC continues to be mastectomy and radiation therapy. These data reinforce the prevailing treatment algorithm for nonmetastatic IBC.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/6438635","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36279977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Concordance between Immunohistochemistry and Microarray Gene Expression Profiling for Estrogen Receptor, Progesterone Receptor, and HER2 Receptor Statuses in Breast Cancer Patients in Lebanon. 黎巴嫩乳腺癌患者雌激素受体、孕激素受体和HER2受体状态的免疫组织化学和微阵列基因表达谱的一致性
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-05-31 eCollection Date: 2018-01-01 DOI: 10.1155/2018/8530318
Ghina B Fakhri, Reem S Akel, Maya K Khalil, Deborah A Mukherji, Fouad I Boulos, Arafat H Tfayli
{"title":"Concordance between Immunohistochemistry and Microarray Gene Expression Profiling for Estrogen Receptor, Progesterone Receptor, and HER2 Receptor Statuses in Breast Cancer Patients in Lebanon.","authors":"Ghina B Fakhri,&nbsp;Reem S Akel,&nbsp;Maya K Khalil,&nbsp;Deborah A Mukherji,&nbsp;Fouad I Boulos,&nbsp;Arafat H Tfayli","doi":"10.1155/2018/8530318","DOIUrl":"https://doi.org/10.1155/2018/8530318","url":null,"abstract":"<p><strong>Introduction: </strong>Accurate evaluation of estrogen and progesterone receptors and HER2 is critical when diagnosing invasive breast cancer for optimal treatment. The current evaluation method is via immunohistochemistry (IHC). In this paper, we compared results of ER, PR, and HER2 from microarray gene expression to IHC in 81 fresh breast cancer specimens.</p><p><strong>Methods: </strong>Gene expression profiling was performed using the GeneChip Human Genome U133 Plus 2.0 arrays (Affymetrix Inc). Immunohistochemical staining for estrogen receptor, progesterone receptor, and HER2 status was performed using standard methods at a CAP-accredited pathology laboratory. Concordance rates, agreement measures, and kappa scores were calculated for both methods.</p><p><strong>Results: </strong>For ER, Kappa score was 0.918 (95% CI, 0.77.3-1.000) and concordance rate was 97.5% (95% CI, 91.4%-99.7%). For PR, Kappa score was 0.652 (95% CI, 0.405-0.849) and concordance rate was 86.4% (95% CI, 77%-93%). For HER2, Kappa score was 0.709 (95% CI, 0.428-0.916) and concordance rate was 97.5% (95% CI, 91.4%-99.7%).</p><p><strong>Conclusion: </strong>Our results are in line with the available evidence with the concordance rate being the lowest for the progesterone receptor. In general, microarray gene expression and IHC proved to have high concordance rates. Several factors can increase the discordance rate such as differences in sample processing.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/8530318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36312305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent. 转移性乳腺癌放射治疗的演变:从局部治疗到全身用药。
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-05-16 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4786819
Jessica M S Jutzy, Jeffrey M Lemons, Jason J Luke, Steven J Chmura
{"title":"The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent.","authors":"Jessica M S Jutzy, Jeffrey M Lemons, Jason J Luke, Steven J Chmura","doi":"10.1155/2018/4786819","DOIUrl":"10.1155/2018/4786819","url":null,"abstract":"<p><p>Radiation therapy is a mainstay of treatment in early and locally advanced breast cancer but is typically reserved for palliation of symptomatic lesions in patients with metastatic breast cancer. With new advances in the field of tumor biology and immunology, the role of radiation in the metastatic setting is evolving to harness its immune-enhancing properties. Through the release of tumor antigens, tumor DNA, and cytokines into the tumor microenvironment, radiation augments the antitumoral immune response to affect both the targeted lesion and distant sites of metastatic disease. The use of immunotherapeutics to promote antitumoral immunity has resulted in improved treatment responses in patients with metastatic disease and the combination of radiation therapy and immunotherapy has become an area of intense investigation. In this article, we will review the emerging role of radiation in the treatment of metastatic disease and discuss the current state of the science and clinical trials investigating the combination of radiation and immunotherapy.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36188750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Precision Medicine for Breast Cancer: The Paths to Truly Individualized Diagnosis and Treatment. 乳腺癌精准医学:实现真正个性化诊断和治疗的途径。
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-05-09 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4809183
Eleanor E R Harris
{"title":"Precision Medicine for Breast Cancer: The Paths to Truly Individualized Diagnosis and Treatment.","authors":"Eleanor E R Harris","doi":"10.1155/2018/4809183","DOIUrl":"10.1155/2018/4809183","url":null,"abstract":"<p><p>Precision medicine in oncology seeks to individualize each patient's treatment regimen based on an accurate assessment of the risk of recurrence or progression of that person's cancer. Precision will be achieved at each phase of care, from detection to diagnosis to surgery, systemic therapy, and radiation therapy, to survivorship and follow-up care. The precision arises from detailed knowledge of the inherent biological propensities of each tumor, rather than generalizing treatment approaches based on phenotypic, or even genotypic, categories. Extensive research is being conducted in multiple disciplines, including radiology, pathology, molecular biology, and surgical, medical, and radiation oncology. Clinical trial design is adapting to the new paradigms and moving away from grouping heterogeneous patient populations into limited treatment comparison arms. This review touches on several areas invested in clinical research. This special issue highlights the specific work of a number of groups working on precision medicine for breast cancer.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36188751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety Assessment of Neoadjuvant Pertuzumab Combined with Trastuzumab in Nonmetastatic HER2-Positive Breast Cancer in Postmenopausal Elderly Women of South Asia. 新辅助帕妥珠单抗联合曲妥珠单抗治疗南亚绝经后老年妇女非转移性her2阳性乳腺癌的安全性评估
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-04-19 eCollection Date: 2018-01-01 DOI: 10.1155/2018/6106041
Nadia Hussain, Amira S A Said, Zainab Khan
{"title":"Safety Assessment of Neoadjuvant Pertuzumab Combined with Trastuzumab in Nonmetastatic HER2-Positive Breast Cancer in Postmenopausal Elderly Women of South Asia.","authors":"Nadia Hussain,&nbsp;Amira S A Said,&nbsp;Zainab Khan","doi":"10.1155/2018/6106041","DOIUrl":"https://doi.org/10.1155/2018/6106041","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the safety issues and adverse effects of using TCHP regimen (docetaxel, carboplatin, trastuzumab, and pertuzumab) versus TCP regimen (docetaxel, carboplatin, and trastuzumab) in older postmenopausal women with nonmetastatic HER2-positive breast cancer. HER2 overexpressed in 20-25% of breast cancer signals an aggressive form of breast cancer and is treated with trastuzumab and pertuzumab.</p><p><strong>Methods: </strong>The patient record database was accessed to identify all postmenopausal women in the Punjab Care hospital who were above 65 years old, with stages 1-3 HER2-positive breast cancer and treated with neoadjuvant TCHP and neoadjuvant TCP from 2013 till 2016.</p><p><strong>Results: </strong>In TCH-P group and TCH group, mild fatigue (34% versus 36%) and diarrhea (48% versus 49%) were most common toxicities. Fever in TCH-P group and TCH group (12% versus 13%) was common. Anorexia affected 21% and 16% of patients receiving TCH and TCHP regimen, respectively. Febrile neutropenia was higher in TCH-P group 13% (3/23) versus 4.5% (1/22) in TCH group. Also 27.2% (6/22) of TCH-P group was hospitalized for treatment related toxicities versus 21.7% (5/23) of TCH group.</p><p><strong>Conclusion: </strong>Comparing neoadjuvant TCP and neoadjuvant TCH-P showed TCH-P regimen had an acceptable toxicity profile. Severe cardiac dysfunction was not observed. Using TCH-P regimen can be considered as relatively safe therapeutic option for elderly postmenopausal women with nonmetastatic HER2-positive breast cancer.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/6106041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36178370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Breast-i Is an Effective and Reliable Adjunct Screening Tool for Detecting Early Tumour Related Angiogenesis of Breast Cancers in Low Resource Sub-Saharan Countries. 在资源匮乏的撒哈拉以南国家,Breast- 1是一种有效可靠的辅助筛查工具,用于检测乳腺癌早期肿瘤相关血管生成。
IF 1.6
International Journal of Breast Cancer Pub Date : 2018-04-04 eCollection Date: 2018-01-01 DOI: 10.1155/2018/2539056
Frank Naku Ghartey, David Watmough, Samuel Debrah, Martin Morna, Akwasi Anyanful
{"title":"Breast-i Is an Effective and Reliable Adjunct Screening Tool for Detecting Early Tumour Related Angiogenesis of Breast Cancers in Low Resource Sub-Saharan Countries.","authors":"Frank Naku Ghartey, David Watmough, Samuel Debrah, Martin Morna, Akwasi Anyanful","doi":"10.1155/2018/2539056","DOIUrl":"10.1155/2018/2539056","url":null,"abstract":"<p><strong>Background: </strong>What cheaper alternative breast screening procedures are available to younger women in addition to clinical breast examination (CBE) in Sub-Saharan countries? In 2009, we first described BreastLight for screening and reported high sensitivity at detecting breast cancer. Due to limitations of BreastLight, we have since 2014 been using the more technologically advanced Breast-i to screen 2204 women to find cheaper screening alternatives.</p><p><strong>Methodology: </strong>First, the participant lies down for CBE and then, in a darkened room, Breast-i was placed underneath each breast and trained personnel confirm vein pattern and look out for dark spot(s) to ascertain the presence of suspicious angiogenic lesion(s).</p><p><strong>Results: </strong>CBE detected 153 palpable breast masses and Breast-i, which detects angiogenesis, confirmed 136. However, Breast-i detected 22 more cases of which 7 had angiogenesis but were not palpable and 15 were missed by CBE due to large breast size. Overall confirmed cases were 26, with Breast-i detecting 7 cases missed by CBE. Breast-i and CBE gave sensitivities of 92.3% and 73%, respectively.</p><p><strong>Conclusion: </strong>Breast-i with its high sensitivity to angiogenesis, reliability, and affordability will be an effective adjunct detection device that can be used effectively to increase early detection in younger women, thereby increasing treatment success.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2018-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36178369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postmastectomy Radiation Therapy: Are We Ready to Individualize Radiation? 乳房切除术后放射治疗:我们准备好个性化放疗了吗?
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-03-01 eCollection Date: 2018-01-01 DOI: 10.1155/2018/1402824
Ashlyn S Everett, Drexell Hunter Boggs, Jennifer F De Los Santos
{"title":"Postmastectomy Radiation Therapy: Are We Ready to Individualize Radiation?","authors":"Ashlyn S Everett, Drexell Hunter Boggs, Jennifer F De Los Santos","doi":"10.1155/2018/1402824","DOIUrl":"10.1155/2018/1402824","url":null,"abstract":"<p><p>Contemporary recommendations for postmastectomy radiation have undergone a shift in thinking away from simple stage based recommendations (one size fits all) to a system that considers both tumor biology and host factors. While surgical staging has traditionally dictated indications for postmastectomy radiation therapy (PMRT), our current understanding of tumor biology, host, immunoprofiles, and tumor microenvironment may direct a more personalized approach to radiation. Understanding the interaction of these variables may permit individualization of adjuvant therapy aimed at appropriate escalation and deescalation, including recommendations for PMRT. This article summarizes the current data regarding tumor and host molecular biomarkers <i>in vitro</i> and <i>in vivo</i> that support the individualization of PMRT and discusses open questions that may alter the future of breast cancer treatment.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36035676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishing the Role of Stereotactic Ablative Body Radiotherapy in Early-Stage Breast Cancer. 确定立体定向烧蚀体放疗在早期乳腺癌中的作用。
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-02-01 eCollection Date: 2018-01-01 DOI: 10.1155/2018/2734820
Aisling Barry, Anthony Fyles
{"title":"Establishing the Role of Stereotactic Ablative Body Radiotherapy in Early-Stage Breast Cancer.","authors":"Aisling Barry, Anthony Fyles","doi":"10.1155/2018/2734820","DOIUrl":"10.1155/2018/2734820","url":null,"abstract":"<p><p>Stereotactic ablative body radiotherapy (SABR) has a role as definitive therapy in many tumor sites; however, its role in the treatment of breast cancer is less well explored. Currently, SABR has been investigated in the neoadjuvant and adjuvant setting with a number of ongoing feasibility studies. However, its use comes with a number of radiobiological and technical challenges that require further evaluation. We have learned much from other extracranial disease sites such as lung, brain, and spine, where definitive treatment with SABR has shown encouraging outcomes. In women with breast cancer, SABR may eliminate the need for invasive surgery, reducing healthcare costs and hospital stays and providing an additional curative option for early-stage disease. This poses the following question: is there a role for SABR as a definitive therapy in breast cancer?</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5816843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35865939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rate of Clinical Complete Response for 1 Year or More in Bone-Metastatic Breast Cancer after Comprehensive Treatments including Autologous Formalin-Fixed Tumor Vaccine. 包括自体福尔马林固定肿瘤疫苗在内的骨转移性乳腺癌综合治疗后1年及以上的临床完全缓解率
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-01-22 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4879406
Fumito Kuranishi, Yuki Imaoka, Yuusuke Sumi, Yoji Uemae, Hiroko Yasuda-Kurihara, Takeshi Ishihara, Tsubasa Miyazaki, Tadao Ohno
{"title":"Rate of Clinical Complete Response for 1 Year or More in Bone-Metastatic Breast Cancer after Comprehensive Treatments including Autologous Formalin-Fixed Tumor Vaccine.","authors":"Fumito Kuranishi,&nbsp;Yuki Imaoka,&nbsp;Yuusuke Sumi,&nbsp;Yoji Uemae,&nbsp;Hiroko Yasuda-Kurihara,&nbsp;Takeshi Ishihara,&nbsp;Tsubasa Miyazaki,&nbsp;Tadao Ohno","doi":"10.1155/2018/4879406","DOIUrl":"https://doi.org/10.1155/2018/4879406","url":null,"abstract":"<p><strong>Introduction: </strong>No effective treatment has been developed for bone-metastatic breast cancer. We found 3 cases with clinical complete response (cCR) of the bone metastasis and longer overall survival of the retrospectively examined cohort treated comprehensively including autologous formalin-fixed tumor vaccine (AFTV).</p><p><strong>Patients and methods: </strong>AFTV was prepared individually for each patient from their own formalin-fixed and paraffin-embedded breast cancer tissues.</p><p><strong>Results: </strong>Three patients maintained cCR status of the bone metastasis for 17 months or more. Rate of cCR for 1 year or more appeared to be 15% (3/20) after comprehensive treatments including AFTV. The median overall survival time (60.0 months) and the 3- to 8-year survival rates after diagnosis of bone metastasis were greater than those of historical control cohorts in Japan (1988-2002) and in the nationwide population-based cohort study of Denmark (1999-2007).</p><p><strong>Conclusion: </strong>Bone-metastatic breast cancer may be curable after comprehensive treatments including AFTV, although larger scale clinical trial is required.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4879406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35945968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Use of Sentinel Lymph Node Biopsy in BRCA1/2 Mutation Carriers Undergoing Prophylactic Mastectomy: A Retrospective Consecutive Case-Series Study. 在接受预防性乳房切除术的 BRCA1/2 基因突变携带者中使用前哨淋巴结活检:回顾性连续病例系列研究。
IF 1.9
International Journal of Breast Cancer Pub Date : 2018-01-01 DOI: 10.1155/2018/1426369
Sara Câmara, Daniela Pereira, Saudade André, Beatriz Mira, Fátima Vaz, Rodrigo Oom, José Carlos Marques, João Leal de Faria, Catarina Rodrigues Dos Santos
{"title":"The Use of Sentinel Lymph Node Biopsy in <i>BRCA1/2</i> Mutation Carriers Undergoing Prophylactic Mastectomy: A Retrospective Consecutive Case-Series Study.","authors":"Sara Câmara, Daniela Pereira, Saudade André, Beatriz Mira, Fátima Vaz, Rodrigo Oom, José Carlos Marques, João Leal de Faria, Catarina Rodrigues Dos Santos","doi":"10.1155/2018/1426369","DOIUrl":"10.1155/2018/1426369","url":null,"abstract":"<p><strong>Introduction: </strong>Sentinel lymph node biopsy in prophylactic mastectomy is controversial. It avoids lymphadenectomy in occult carcinoma but is associated with increased morbidity. Women with BRCA mutations have a higher incidence of occult carcinoma and our objective was to assess the clinical utility of sentinel lymph node biopsy when these women undergo prophylactic mastectomy.</p><p><strong>Materials and methods: </strong>Seven-year retrospective consecutive case-series study of women, with a BRCA deleterious mutation, admitted to prophylactic mastectomy, at our center. Breast MRI < 6 months before surgery was routine, unless contraindicated.</p><p><strong>Results: </strong>Fifty-seven patients (43% BRCA1; 57% BRCA2) underwent 80 prophylactic mastectomies. 72% of patients had had breast cancer treated before prophylactic mastectomy or synchronously to it. The occult carcinoma incidence was 5%, and half of the cases were invasive. SLNB was performed in 19% of the prophylactic mastectomies; none of these had tumor invasion. Women with invasive carcinoma who had not undergone sentinel lymph node biopsy were followed closely with axillary ultrasound. The median follow-up was 37 months, with no local recurrence; 1 patient died of primary tumor systemic relapse.</p><p><strong>Conclusions: </strong>Our data do not support this procedure for routine (in agreement with previous literature), in this high risk for occult carcinoma population.</p>","PeriodicalId":46159,"journal":{"name":"International Journal of Breast Cancer","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5817815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35885507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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