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Clinical Articles / BY: Rebecca Warburton, MD, FRCSC March 2018
... for all patients with invasive breast cancer. Axillary lymph node dissection (ALND) has now been replaced by sentinel lymph node biopsy ... burden to reduce regional recurrence and improve survival.[ 32 ] For women with positive results on SLNB, radiotherapy gives local ...
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 ... 25% and 60% of patients and has been variably defined.[ 32 ] As the surgical management of breast cancer has changed over time, ...
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, ... median time from completion of chemotherapy to surgery is 32 days. Again, this has improved since the audit and feedback quality ...
Clinical Articles / BY: Kenneth M. Madden, MD, MSc March 2017
... however, did not show any improvement in the fall rate,[ 32 ] suggesting that the role of pacemakers in CSS requires clarification. ... stenosis in older adults) and arrhythmias (usually sinus node disease or heart blocks). Cardiac syncope has a significant associated ...
Clinical Articles / BY: Perminder Bains, MD, FRCPC January/February 2017
... in recent studies using newer cellular phone technology.[ 32,33 ] Electromagnetic security systems such as antishoplifting gates and ... implantation include bradycardia resulting from sinus node dysfunction and third-degree or advanced second-degree atrioventricular ...
Clinical Articles / BY: Kristy Cho, May 2014
... require nodal sampling with either a sentinel lymph node biopsy (SLNB) or axillary dissection. Occasionally, pathologic examination ... (54.4%) or clinically-directed (4.5%), 837 cases (32.3%) were diagnosed using an open surgical procedure, and 228 cases (9%) were ...
Clinical Articles / BY: J.E. Albrecht, MD January/February 2008
... past medical history included myocardial infarction at age 32, COPD at age 40, and hyperlipidemia at age 43. His surgical history included ... purulent gingi­vitis and a 1-cm tender left axillary lymph node. Chest auscultation was limited by the patient’s agitated state. Heart ...
Clinical Articles / BY: H.F. Kennecke, MD, MHA, FRCPC, April 2006
... of 31 months, women who switched to exemestane had a 32% reduction in the risk of recurrence, and a corresponding 5% absolute ... 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, ...
Clinical Articles / BY: Ian Gardiner, MD December 2005
... view of the pectoral fascia and the internal mammary lymph node chain. The large field of view also permits assessment of the ... and in one study altered the management of 50% of 32 women with invasive lobular carcinoma. [16]  Postoperative ...
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 ... group Tamoxifen group <49 1.09 1.32 1.27 1.58 ≥50 0.76 3.05 2.46 4.71 ...