2020
DOI: 10.21037/gs-20-691
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Comparison between surgery plus radiotherapy and radiotherapy alone in treating breast cancer patients with ipsilateral supraclavicular lymph node metastasis

Abstract: Background: Ipsilateral supraclavicular lymph node metastasis (ISLM) with breast cancer patients has always been a hard problem for breast surgery. It is generally believed that radiotherapy can benefit the survival of patients, but whether local surgical resection is needed or not is controversial. The study aims to compare the efficacy between supraclavicular lymph node (SLN) dissection combined with radiotherapy and radiotherapy alone in the treatment of breast cancer with ISLM.Methods: A retrospective anal… Show more

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Cited by 9 publications
(5 citation statements)
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“…This conclusion is supported by Kim et al, who reported no improvement in locoregional control or DFS with SLND. Similar trends were observed by Ma et al (2020) , Chang et al (2013) , and Sun et al (2020) . In summary, the available evidence on the role of SLND in the treatment of breast cancer with ISLNM is mixed and further research is needed to determine its effectiveness in improving patient outcomes.…”
Section: Discussionsupporting
confidence: 82%
“…This conclusion is supported by Kim et al, who reported no improvement in locoregional control or DFS with SLND. Similar trends were observed by Ma et al (2020) , Chang et al (2013) , and Sun et al (2020) . In summary, the available evidence on the role of SLND in the treatment of breast cancer with ISLNM is mixed and further research is needed to determine its effectiveness in improving patient outcomes.…”
Section: Discussionsupporting
confidence: 82%
“…In our long-term follow-up study of miSLNM, the SND group had a significantly longer time interval from neck metastasis to occurrence of distant metastasis compared to the no SND group (23.7 months and 14.5 months, respectively), and the interval from neck relapse to death was also longer in the SND group (44.7 months and 30.1 months, respectively). The survival of our miSLNM patients was comparable to that of patients with sSLNM in the literature [ 1 , 9 , 29 ], and there were significant differences in the 5-year DMFS between the SND group and the no SND group (31.1% and 9.7%, respectively) and in the 5-year OS, too (68.9% and 57.7%, respectively). Intensive locoregional therapy (radiotherapy or surgery) seems to be mandatory in multimodal therapy to achieve good local control and prevent subsequent distant metastasis [ 17 , 18 , 23 ].…”
Section: Discussionsupporting
confidence: 72%
“…However, there is no standard of what kind of treatment should be included in multimodal therapy, and surgical treatment of SLNM was not included in the guidelines from the National Comprehensive Cancer Network (NCCN) [ 27 ]. In other studies, surgery of sSLNM was associated with improved survival [ 9 , 10 ], and radical irradiation improved locoregional control but not survival [ 11 ].…”
Section: Discussionmentioning
confidence: 99%
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“…At our Institute, dissection or biopsy of S/I lymph nodes was not performed. In the retrospective evaluation of local therapy for supraclavicular lymph node metastasis, dissection of these lymph nodes plus RT did not improve survival in comparison to RT alone (20,21). With regard to internal mammary lymph nodes, accurate staging by biopsy may benefit some patients, by identifying patients who may benefit from more intensive chemotherapy and RT ANTICANCER RESEARCH 41: 3625-3634 (2021) (22,23).…”
Section: Discussionmentioning
confidence: 99%