Reunión de consenso sobre la biopsia selectiva del ganglio centinela en el cáncer de mama. Socidad española de senología y patología mamaria

Piñero, Antonio; Giménez, Julia; Merck, Belén

doi:10.1016/s0009-739x(07)71689-5

Cited by 16 publications

(1 citation statement)

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“…The sentinel lymph node technique was introduced in 2004 and was used when indicated 4. When the sentinel lymph node was invaded by tumor cells, axillary lymphadenectomy was performed.…”

Section: Methodsmentioning

confidence: 99%

Prognosis in Women with Breast Cancer and Private Extra Insurance Coverage

Grau

Zanón

Caso³

et al. 2013

Ann Surg Oncol

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BackgroundMany women covered by the Spanish public health system also have an extra private insurance policy for gynecological examinations and routine annual mammography. We retrospectively analyzed the long-term survival rates in these patients when diagnosed with breast cancer.MethodsWe analyzed the survival and prognostic factors in patients diagnosed with breast cancer who were referred to a medical oncology unit for multidisciplinary treatment covered by private health insurance.ResultsBetween 1994 and 2009, a total of 434 patients with breast tumor were analyzed: 33 in situ and 401 infiltrating. Among the infiltrating carcinomas, 38 were stage IV and 363 were stage I, II, or III. With a median follow-up of 62 months, the 5-year global survival rate was 91 %: 97 % for stage I, 94 % for stage II, and 77 % for stage III tumors. In the patients diagnosed by routine mammography, the 5-year survival rate was 96 %, compared with 86 % in those consulting their gynecologist after breast self-examination or for other symptoms (p = 0.0159). Seventy-four percent were treated conservatively and experienced better survival than the 26 % who underwent mastectomy (p = 0.0024). Patients with disease with positive hormone receptors had a better survival rate (p = 0.0264); hormone receptor status was the only independent prognostic factor in the Cox multivariate analysis. Postmenopausal patients who received adjuvant tamoxifen plus exemestane had a better prognosis than those who received tamoxifen alone (p = 0.0203).ConclusionsLong-term survival rate was high in breast cancer patients with extra private insurance coverage. This is probably because disease was diagnosed at an early stage.

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“…The sentinel lymph node technique was introduced in 2004 and was used when indicated 4. When the sentinel lymph node was invaded by tumor cells, axillary lymphadenectomy was performed.…”

Section: Methodsmentioning

confidence: 99%