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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 ... between cosmetic outcome, psychological adjustment,[ 21,22 ] and quality of life[ 23 ] has been well demonstrated. Reports ...
Clinical Articles / BY: Rebecca Warburton, MD, FRCSC March 2018
... discussion with a radiation oncologist is recommended.[ 22 ] Mastectomy Breast cancer that cannot be treated adequately ... for all patients with invasive breast cancer. Axillary lymph node dissection (ALND) has now been replaced by sentinel lymph node biopsy ...
Clinical Articles / BY: Perminder Bains, MD, FRCPC January/February 2017
... some adverse events from a number of clinical trials.[ 19-22 ] While data from these trials give us approximate rates for acute ... 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
... insertion to treat the cardioinhibitory component of VVS[ 22 ] in troublesome cases that do not resolve with conservative care. Although ... 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
... require nodal sampling with either a sentinel lymph node biopsy (SLNB) or axillary dissection. Occasionally, pathologic examination ... a CNB diagnosis of breast cancer and a subsequent SLNB, only 22 (4.3%) were identified as pN0i+ cases, compared with 8 (5.3%) pN0i+ in the ...
Clinical Articles / BY: H.F. Kennecke, MD, MHA, FRCPC, April 2006
... into a benefit of 6% in absolute terms. In patients with node-positive breast cancer there was also a 40% reduction in risk of death, ... 380 9 15 4–9 nodes positive 109 22 30 * Defined as cancer recurrence or second primary breast ...
Clinical Articles / BY: Charmaine Kim-Sing, MD, ChB, FRCPC October 2004
... for cancers that were greater than 2 cm in size, lymph node negative, and estrogen receptor (ER) positive. The most significant ... informed discussion of the risks versus the benefits. [21,22]  For example, a woman who has lobular carcinoma in situ has a 1% per ...
Clinical Articles / BY: P. Terry Phang, MD September 2003
... more nodes was required to assure accuracy of a metastatic node-negative stage. [9] The main aim of this study is to determine ... Relationship of tumor to peritoneal reflection 22% 26% Maximum tumor diameter 95% 93% Distance ...
Clinical Articles / BY: P. Terry Phang, MD September 2003
... surgery, of which 121 performed five or fewer operations; 22 surgeons performed six to nine operations; two surgeons performed 10 or more ... 12 lymph nodes to determine that there are no regional lymph node metastases. [14,15]  However, the average number of lymph nodes ...