Image-Detected Breast Cancer: State of the Art Diagnosis and Treatment

Silverstein, Melvin J.; Recht, Abram; Lagios, Michael D.; Bleiweiss, Ira J.; Blumencranz, Peter W.; Gizienski, Terri; Harms, Steven E.; Harness, Jay K.; Jackman, Roger J.; Klimberg, V. Suzanne; Kuske, Robert R.; Levine, Gary M.; Linver, Michael N.; Rafferty, Elizabeth A.; Rugo, Hope S.; Schilling, Kathy; Tripathy, Debasish; Whitworth, Pat W.; Willey, Shawna C.

doi:10.1016/j.jamcollsurg.2005.05.032

Cited by 188 publications

(75 citation statements)

References 8 publications

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“…The ASLN was examined intraoperatively with imprint cytology (touch preparation) and frozen section [24]. Those had positive axilla nodes (fine needle aspiration) before NAC (cN+) and converted to clinically (palpation and ultrasound) node-negative disease after NAC (ycN0) underwent ASLNB following ALND.…”

Section: Methodsmentioning

confidence: 99%

Axillary and internal mammary sentinel lymph node biopsy in breast cancer after neoadjuvant chemotherapy

Cao

Cong

et al. 2016

Oncotarget

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With the improvement of neoadjuvant chemotherapy (NAC), the proportion of pathological complete response (pCR) in the breast and axillary lymph node (ALN) is increasing. The evaluation of pCR does not include the status of internal mammary lymph node (IMLN). This study is to evaluate the roles of both axillary sentinel lymph node biopsy (ASLNB) and internal mammary sentinel lymph node biopsy (IM-SLNB) in breast cancer patients after NAC. There were 74 patients enrolled into this study. IM-SLNB was performed on patients with radioactive internal mammary sentinel lymph node (IM-SLN). Patients (n = 8) with cN0 and ycN0 received ASLNB, and axillary lymph node dissection (ALND) in cases of positive axillary sentinel lymph node (ASLN). Patients (n = 48) with cN+ but ycN0 received ASLNB and ALND. Patients (n = 18) with ycN+ received ALND without ASLNB. The visualization rate of IM-SLN was 56.8% (42/74). The success rate of IM-SLNB was 97.6% (41/42) and the metastasis rate of IM-SLN was 7.3% (3/41). The success rate of ASLNB was 100% (56/56). The false negative rate (FNR) of ASLNB was 17.2% (5/29). The FNR in patients with 1, 2 and ≥ 3ASLNs examined was 27.3% (3/11), 20.0% (2/10) and 0% (0/8) respectively. ASLNB could be performed on ycN0 after NAC, and ALND should be performed on initially ALN-positive patients. IM-SLNB should be considered after NAC, especially for patients with clinically positive axillary nodes before NAC, which might help make clear of the pathological nodal staging of both ALN and IMLN, improve the definition of nodal pCR, and guide the individual adjuvant regional and systemic therapy.

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Section: Methodsmentioning

confidence: 99%

Axillary and internal mammary sentinel lymph node biopsy in breast cancer after neoadjuvant chemotherapy

Cao

Cong

et al. 2016

Oncotarget

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“…As a general rule, 80 g of breast tissue is the maximum weight that can be removed from a medium-sized breast without resulting in deformity. Although the average specimen from BCS weighs 20–40 g, all OPS studies have demonstrated that an average of 200 g up to 1 000 g or more can be removed from a medium to large-sized breast during BCS with no cosmetic compromises [10]. In 2010, Clough et al [11] developed an Atlas and OPS guideline to assist surgeons in choosing the optimal approach for each individual patient.…”

Section: Introductionmentioning

confidence: 99%

Oncoplastic Surgery for Upper/Upper Inner Quadrant Breast Cancer

et al. 2016

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Tumors located in the upper/upper inner quadrant of the breast warrant more attention. A small lesion relative to the size of breast in this location may be resolved by performing a level I oncoplastic technique. However, a wide excision may significantly reduce the overall quality of the breast shape by distorting the visible breast line. From June 2012 to April 2015, 36 patients with breast cancer located in the upper/upper inner quadrant underwent breast-conservation surgery with matrix rotation mammoplasty. According to the size and location of the tumor relative to the nipple-areola complex, 11 patients underwent matrix rotation with periareolar de-epithelialization (donut group) and the other 25 underwent matrix rotation only (non-donut group). The cosmetic results were self-assessed by questionnaires. The average weights of the excised breast lumps in the donut and non-donut groups were 104.1 and 84.5 g, respectively. During the 3-year follow-up period, local recurrence was observed in one case and was managed with nipple-sparing mastectomy followed by breast reconstruction with prosthetic implants. In total, 31 patients (88.6%) ranked their postoperative result as either acceptable or satisfactory. The treated breasts were also self-evaluated by 27 patients (77.1%) to be nearly identical to or just slightly different from the untreated side. Matrix rotation is an easy breast-preserving technique for treating breast cancer located in the upper/upper inner quadrant of the breast that requires a relatively wide excision. With this technique, a larger breast tumor could be removed without compromising the breast appearance.

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“…With the rising incidence of DCIS diagnoses, it is important to understand variations in patterns of presentation and management of this disease in different racial/ethnic groups. With the increased use of screening mammography in the United States, an increased incidence of DCIS was observed in the 1980's across all ethnicities [18]- [21]. Innos and Horn-Ross analyzed data from the California Cancer Registry (1988-1999) looking at racial/ethnic differences and trends in the incidence of DCIS in 11,798 California women and found that the percentages of DCIS across races were similar between White (11.9%), Black (11.9%), Hispanic (10.8%) and Asian-Pacific Islander (14.9%) women [21].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Ethnicity on the Incidence, Tumor Characteristics and Treatment of Ductal Carcinoma <i>in Situ</i>—An 11-Year Clinical Experience at a High Volume Teaching Hospital

Sparber¹,

Murthy²,

Chamberlain³

2016

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Image-Detected Breast Cancer: State of the Art Diagnosis and Treatment

Cited by 188 publications

References 8 publications

Axillary and internal mammary sentinel lymph node biopsy in breast cancer after neoadjuvant chemotherapy

Axillary and internal mammary sentinel lymph node biopsy in breast cancer after neoadjuvant chemotherapy

Oncoplastic Surgery for Upper/Upper Inner Quadrant Breast Cancer

The Impact of Ethnicity on the Incidence, Tumor Characteristics and Treatment of Ductal Carcinoma <i>in Situ</i>—An 11-Year Clinical Experience at a High Volume Teaching Hospital

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Image-Detected Breast Cancer: State of the Art Diagnosis and Treatment

Cited by 188 publications

References 8 publications

Axillary and internal mammary sentinel lymph node biopsy in breast cancer after neoadjuvant chemotherapy

Axillary and internal mammary sentinel lymph node biopsy in breast cancer after neoadjuvant chemotherapy

Oncoplastic Surgery for Upper/Upper Inner Quadrant Breast Cancer

The Impact of Ethnicity on the Incidence, Tumor Characteristics and Treatment of Ductal Carcinoma &lt;i&gt;in Situ&lt;/i&gt;—An 11-Year Clinical Experience at a High Volume Teaching Hospital

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The Impact of Ethnicity on the Incidence, Tumor Characteristics and Treatment of Ductal Carcinoma <i>in Situ</i>—An 11-Year Clinical Experience at a High Volume Teaching Hospital