The impact of method of biopsy on the incidence of breast cancer sentinel lymph node metastases

Meattini, Icro; Giannotti, Elisabetta; Abdulcadir, D.; Saieva, Calogero; Guerrieri, A. M.; Vanzi, E.; Scartoni, D.; Cecchini, Silvia; Sanchez, Luis; Orzalesi, Lorenzo; Casella, Donato; Bianchi, Simonetta; Livi, Lorenzo; Nori, Jacopo

doi:10.1016/j.ejso.2013.12.011

Cited by 6 publications

(2 citation statements)

References 32 publications

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“…In our study, the same factor may have opposite impacts on the use of different indicators. For patients with a relatively late pathological stage, it is more possible to conduct preoperative biopsy to understand the disease development [33], and to conduct endocrine therapy to inhibit the growth of cancer cells [30, 32]. However, our study showed that these patients are less likely to have postoperative radiotherapy after breast-conserving surgery.…”

Section: Discussionmentioning

confidence: 89%

Factors analysis on the use of key quality indicators for narrowing the gap of quality of care of breast cancer

Wang

et al. 2019

BMC Cancer

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BackgroundThere are differences in the quality of care among breast cancer patients. Narrowing the quality differences could be achieved by increasing the utilization rate of indicators. Here we explored key indicators that can improve the quality of care and factors that may affect the use of these indicators.MethodsA total of 3669 breast cancer patients were included in our retrospective study. We calculated patient quality-of-care composite score based on patient average method. Patients were divided into high- and low-quality groups according to the mean score. We obtained the indicators with large difference in utilization between the two groups. Multilevel logistic regression model was used to analyze the factors influencing quality of care and use of indicators.ResultsThe mean composite score was 0.802, and the number of patients in the high- and low-quality groups were 1898 and 1771, respectively. Four indicators showed a difference in utilization between the two groups of over 40%. Histological grade, pathological stage, tumor size and insurance type were the factors affecting the quality of care. In single indicator evaluation, besides the above factors, age, patient income and number of comorbidities may also affect the use of these four indicators. Number of comorbidities may have opposite effects on the use of different indicators, as does pathological stage.ConclusionsIdentifying key indicators for enhancing the quality-of-care of breast cancer patients and factors that affect the indicator adherence may provide guides for enhancing the utilization rate of these indicators in clinical practice.

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Section: Discussionmentioning

confidence: 89%

Factors analysis on the use of key quality indicators for narrowing the gap of quality of care of breast cancer

Wang

et al. 2019

BMC Cancer

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“… 23 In another study, DCIS cases showed SLN positivity despite the absence of occult invasion on comprehensive histological sectioning. 24 Because the accidental transfer of tumor cells to the SLNs by FNA and CNB between biopsy and surgical treatment is less frequent than SLN metastasis, 25 , 26 the iatrogenic seeding of isolated tumor cells and micrometastasis in the SLNs are not likely to be caused by diagnostic biopsy prior to surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Outcomes in patients with non‐invasive breast carcinoma

Kim¹,

Kawai²,

Wakisaka³

et al. 2022

Cancer Reports

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Background and Aim Non‐invasive breast carcinoma is considered to be localized disease and is distinguished from invasive ductal and lobular carcinomas. The local recurrence of non‐invasive carcinoma after surgery may lead to development of invasive carcinoma and promote distant metastasis, which worsens the prognosis for breast cancer mortality. The distant metastasis of non‐invasive carcinoma may involve the ductal microvasculature without invasion. The outcomes of non‐invasive breast carcinoma were examined in this retrospective cohort study. Methods and Results Of 872 primary breast cancers diagnosed at a single center between May 2008 and March 2022, 93 (10.6%) were found to be non‐invasive carcinomas and were examined in this study. The breast cancer recurrence and survival rates of patients with non‐invasive carcinoma were analyzed retrospectively. The median follow‐up period was 1891 (range, 5–4804) days. All patients underwent surgical treatment [mastectomy with sentinel lymph node biopsy (SLNB) and partial mastectomy with or without SLNB, tumorectomy, and microdochectomy]. Postoperatively, radiation therapy was administered to 73 (78.4%) of the patients and endocrine therapy was administered to 64 (81.0%) of 79 patients with hormone‐receptor positivity. Of 26 patients who underwent partial mastectomy with SLNB, 24 (92.3%) showed isolated tumor cells in the SLNs on one‐step nucleic acid amplification. Local recurrence was observed in three (0.3%) patients; no distant metastasis was observed. One patient died of a noncancerous disease. The overall survival rate was 98.0% and the breast cancer‐specific survival rate was 100.0%. Conclusions Non‐invasive breast carcinoma, like invasive breast carcinoma, causes local recurrence, but has a good prognosis without distant metastasis. The clinical significance of isolated tumor cells in the SLNs as a systemic component of non‐invasive breast carcinoma remains to be elucidated.

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Breast cancer neoplastic seeding in the setting of image-guided needle biopsies of the breast

Santiago

Adrada

Huang

et al. 2017

Breast Cancer Res Treat

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The impact of method of biopsy on the incidence of breast cancer sentinel lymph node metastases

Cited by 6 publications

References 32 publications

Factors analysis on the use of key quality indicators for narrowing the gap of quality of care of breast cancer

Factors analysis on the use of key quality indicators for narrowing the gap of quality of care of breast cancer

Outcomes in patients with non‐invasive breast carcinoma

Breast cancer neoplastic seeding in the setting of image-guided needle biopsies of the breast

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