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Clinical Articles / BY: Connie G. Chiu, MD, FRCSC March 2018
... The estimated risk for patients undergoing axillary lymph node dissection (ALND) is 20%, compared with 5% for sentinel lymph node biopsy ... surgery did not demonstrate increased risk of lymphedema.[ 10,11 ] The risk of skin puncture leading to lymphedema has been ...
Clinical Articles / BY: Christine E. Simmons, MD, MSc, FRCPC March 2018
... largely accepted as the standard of care in patients with node-positive or high-risk node-negative breast cancer.[ 3 ] Currently, ... review of the medical literature indicates that an estimated 10% to15% of breast cancer patients are treated with neoadjuvant therapy[ 10 ...
Clinical Articles / BY: Rebecca Warburton, MD, FRCSC March 2018
... low yield, can delay treatment, and can cause anxiety.[ 7,8,10 ] Breast conserving surgery Breast conserving surgery (BCS) ... for all patients with invasive breast cancer. Axillary lymph node dissection (ALND) has now been replaced by sentinel lymph node biopsy ...
Clinical Articles / BY: F. Michelle Sutter, MD, FRCSC March 2018
... is not necessary after mastectomy for DCIS. Invasive node-negative breast cancer   In general, adjuvant whole-breast radiation ... is delivered daily, with patients in the treatment room for 10 to 15 minutes for each session. Typically, radiation therapy is delivered in ...
Clinical Articles / BY: Perminder Bains, MD, FRCPC January/February 2017
... the Canadian Science and Engineering Hall of Fame in 2006.[ 10 ] Hopps took his life’s work quite literally to heart. Thirty years ... implantation include bradycardia resulting from sinus node dysfunction and third-degree or advanced second-degree atrioventricular ...
Clinical Articles / BY: Kenneth M. Madden, MD, MSc March 2017
... external validation has demonstrated poor specificity.[ 10 ] Neuroautonomic syncope, cardiac syncope, and syndromes with syncope-like ... stenosis in older adults) and arrhythmias (usually sinus node disease or heart blocks). Cardiac syncope has a significant associated ...
Clinical Articles / BY: Kristy Cho, May 2014
... diagnosis by open biopsy would ideally occur in less than 10% of incident cases.[ 8 ] Despite these recommendations, the use of open ... require nodal sampling with either a sentinel lymph node biopsy (SLNB) or axillary dissection. Occasionally, pathologic examination ...
Letters / BY: Paula Gordon, MD, FRCPC April 2014
... unit used in the Vancouver Centre of the NBSS was 10 years old at the start of the trial. The false negative rate in the NBSS was ... at screening are less than or equal to 15 mm, and 76% are node negative. The Canadian Task Force on Preventive Health Care was unduly ...
Clinical Articles / BY: Rana S. A. Khan, MBBS, January/February 2013
... survival, recurrence of tumor, resection margin, or lymph node harvest for both total number and number of positive nodes. The overall ... community hospitals in British Columbia and Washington state.10,11 Our lymph node harvest numbers were higher than in any study published to ...
Clinical Articles / BY: Megan Isaac-Renton, BSc, July/August 2010
... A large, tender, fluctuant right inguinal lymph node was identified along with several adjacent lymph nodes that were mildly ... is demonstrated.  Although a total of 16 patients (10 male) diagnosed with tula­remia were identified from 1991 to 2007 ( Figure ...