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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 Axillary lymph node dissection (ALND) has now been replaced by sentinel lymph node biopsy (SLNB) for most patients with clinically ...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 ...
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 ...