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Clinical Articles / BY: Rebecca Warburton, MD, FRCSC March 2018
... than 2 mm) does not significantly improve their outcome.[ 16 ] Unnecessary reoperation has increased risk of ... 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 Axillary lymph node dissection (ALND) has now been replaced by sentinel lymph node biopsy (SLNB) for most patients with clinically ...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 ... therapy is delivered in an accelerated fashion over 16 to 20 sessions. Depending on patient factors such as large ...
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 ... sleeves were shown to be useful management strategies.[ 14-16 ] Cosmesis Once a cancer is surgically excised, patients ...
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 ... are being used predominantly in research settings.[ 15,16 ] As further work is done to validate these outcomes we ...