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Clinical Articles / BY: Valerie C. Doyon, MD January/February 2024
... majority of melanomas have a diameter greater than 6 mm.[ 10 , 11 ] In cases where gross margins were unknown, they ... needle biopsies, 13 lymphadenectomies, 56 sentinel lymph node biopsies, 17 subcutaneous masses, and 15 internal ... for two surgical specimens and four sentinel lymph node biopsies. Incisional biopsies were slightly more ...
Clinical Articles / BY: David F. Schaeffer, MD, FRCPC July/August 2023
... the risk is not completely negligible. Adenomas less than 10 mm in diameter usually demonstrate only low-grade ... the submucosa (T1) is associated with low rates of lymph node metastases and excellent outcomes. A subset of patients ... through the muscularis mucosae, there is no risk for lymph node metastasis. Therefore, as per the BC Colon Screening ...
Clinical Articles / BY: Jordanna Roesler, MD December 2023
... therapy, and Lyme serology was ordered. Approximately 10 days later, he returned with significant fatigue and heart ... endocardium, vasculature, valves, and atrioventricular node.[ 8 ] Lyme carditis develops when host immune cells ... of atrioventricular block, prolonged QT intervals, sinus node disease, and interventricular delay.[ 3 ] ...
Clinical Articles / BY: Sympascho Young, MD December 2020
... tissues, which often involves the atrioventricular (AV) node, as evidenced by autopsy findings.[ 5 ] The severity of ... rare manifestation, with reported prevalence of 1.5% to 10.0% in the United States and 0.3% to 4.0% in Europe among ... conduction abnormalities, such as sinus bradycardia, sinus node disease, intra-atrial block, atrial fibrillation, ...
Clinical Articles / BY: Colin Mar, MD, FRCPC December 2019
... size, whether less than or more than 15 mm, and lymph node involvement (Objective 4). The 2011 to 2015 data ... category A (5.3%) than category B (9.4%), category C (10.5%), and category D (10.7%). When 62 887 mammogram pairs ... density on prognostic factors such as tumor size and lymph node involvement (Objective 4). The 2011 to 2015 data ...
Clinical Articles / BY: Julian Marsden, MD May 2019
... hospital in a community with a population of less than 10 000.[ 20 ] In order to minimize bias, EM Network ... in its early phase of development. Each urban and rural node represents an ED or diagnostic and treatment centre with ... in the diagram does not signify value, the size of each node does. The larger the node the more value respondents ...
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 (SLNB).[ 1 ] However, a more clinically ... surgery did not demonstrate increased risk of lymphedema.[ 10,11 ] The risk of skin puncture leading to lymphedema has ...
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, guidelines ... of the medical literature indicates that an estimated 10% to15% of breast cancer patients are treated with ...
Clinical Articles / BY: Rebecca Warburton, MD, FRCSC March 2018
... yield, can delay treatment, and can cause anxiety.[ 7,8,10 ] Breast conserving surgery Breast conserving surgery ... all patients with invasive breast cancer. Axillary lymph node dissection (ALND) has now been replaced by sentinel lymph node biopsy (SLNB) for most patients with clinically ...
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 recommended for patients with node-negative disease who have undergone BCS as this approach ... delivered daily, with patients in the treatment room for 10 to 15 minutes for each session. Typically, radiation ...