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Relato de Caso
Intramammary lymph node sentinel metastasis without metastasis in axilla: axillary lymph node dissection or conservative surgery?
Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(10):478-482
05-15-2012
Summary
Relato de CasoIntramammary lymph node sentinel metastasis without metastasis in axilla: axillary lymph node dissection or conservative surgery?
Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(10):478-482
05-15-2012DOI 10.1590/S0100-72032012005000001
Views99The sentinel lymph node biopsy is a standard treatment for patients with breast cancer and clinically negative axilla lymph node. The presence of an extra-axillary and intra-axillary (IM) sentinel lymph node (SLN) occurs in up to 2.6% of cases. In the presence of a metastatic IM SLN, axillary positivity may occur in up to 81% of cases. Due to the limited number of cases reported, there is no standard treatment for the association of metastatic SLN IM and non-metastatic axillary SLN . We add here two cases to the literature, one of them with metastatic disease in the axilla. The use of a nomogram demonstrated that the risk of axillary metastasis was less than 10% and the addition of these cases to the literature showed that in this situation the rate of axillary metastasis is 6.25%. We discuss the pros and cons of further axillary dissection in this situation.
Key-words Breast neoplasmsCase reportsLymph nodes excisionLymphatic metastasisNomogramsSentinel lymph node biopsySee moreViews99
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoIntramammary lymph node sentinel metastasis without metastasis in axilla: axillary lymph node dissection or conservative surgery?
Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(10):478-482
05-15-2012DOI 10.1590/S0100-72032012005000001
Views99The sentinel lymph node biopsy is a standard treatment for patients with breast cancer and clinically negative axilla lymph node. The presence of an extra-axillary and intra-axillary (IM) sentinel lymph node (SLN) occurs in up to 2.6% of cases. In the presence of a metastatic IM SLN, axillary positivity may occur in up to 81% of cases. Due to the limited number of cases reported, there is no standard treatment for the association of metastatic SLN IM and non-metastatic axillary SLN . We add here two cases to the literature, one of them with metastatic disease in the axilla. The use of a nomogram demonstrated that the risk of axillary metastasis was less than 10% and the addition of these cases to the literature showed that in this situation the rate of axillary metastasis is 6.25%. We discuss the pros and cons of further axillary dissection in this situation.
Key-words Breast neoplasmsCase reportsLymph nodes excisionLymphatic metastasisNomogramsSentinel lymph node biopsySee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Artigo de Revisão
Use of the prognosis markers in the treatment for the invasive cervical carcinoma
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(9):468-473
10-21-2009
Summary
Artigo de RevisãoUse of the prognosis markers in the treatment for the invasive cervical carcinoma
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(9):468-473
10-21-2009DOI 10.1590/S0100-72032009000900008
Views55The uterine cervix invasive carcinoma represents a major public health problem, mainly in the developing countries. Its treatment, based on radical hysterectomy, radiotherapy and/or chemotherapy presents a considerable morbidity. Prognostic markers should be taken into consideration in the therapeutic planning, so that the results would be optimized, complications reduced, and patients' survival prolonged. Accepted prognostic markers are: stage, tumoral size, histological type, degree of differentiation, lymphovascular invasion, depth of the stromal invasion, presence of lymph nodal metastases, and surgical margins involvement. This study aims at making a literature review concerning the use of theses markers in the therapeutic planning of women with uterine cervix invasive carcinoma. The treatment based on these markers may present better results, with lower ratio of complications and an improvement in the patients' survival.
Key-words Lymphatic metastasisNeoplasm invasivenessNeoplasm stagingPrognosisUterine cervical neoplasmsSee moreViews55This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Artigo de RevisãoUse of the prognosis markers in the treatment for the invasive cervical carcinoma
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(9):468-473
10-21-2009DOI 10.1590/S0100-72032009000900008
Views55The uterine cervix invasive carcinoma represents a major public health problem, mainly in the developing countries. Its treatment, based on radical hysterectomy, radiotherapy and/or chemotherapy presents a considerable morbidity. Prognostic markers should be taken into consideration in the therapeutic planning, so that the results would be optimized, complications reduced, and patients' survival prolonged. Accepted prognostic markers are: stage, tumoral size, histological type, degree of differentiation, lymphovascular invasion, depth of the stromal invasion, presence of lymph nodal metastases, and surgical margins involvement. This study aims at making a literature review concerning the use of theses markers in the therapeutic planning of women with uterine cervix invasive carcinoma. The treatment based on these markers may present better results, with lower ratio of complications and an improvement in the patients' survival.
Key-words Lymphatic metastasisNeoplasm invasivenessNeoplasm stagingPrognosisUterine cervical neoplasmsSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Sentinel lymph node in accessory breast cancer: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(1):50-53
06-19-2006
Summary
Relato de CasoSentinel lymph node in accessory breast cancer: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(1):50-53
06-19-2006DOI 10.1590/S0100-72032006000100009
Views84During the last century, remarkable progress has been made in the treatment of breast cancer. Radical surgical removal of the breast and surrounding structures has been replaced by conservative surgery and the surgical management of axillary lymphnodes has been fundamental. We report a case of a patient with an ectopic breast cancer in the left axilla and sentinel lymphnode identification by the patent blue dye technique. The studies about lymphatic drainage of the ectopic mammary tissue and sentinel lymph node identification in this rare situation were also reviewed.
Key-words BreastBreast neoplasmsCase reportsLymphatic metastasisLymphatic vesselsSentinel lymph node biopsySee moreViews84This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoSentinel lymph node in accessory breast cancer: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(1):50-53
06-19-2006DOI 10.1590/S0100-72032006000100009
Views84During the last century, remarkable progress has been made in the treatment of breast cancer. Radical surgical removal of the breast and surrounding structures has been replaced by conservative surgery and the surgical management of axillary lymphnodes has been fundamental. We report a case of a patient with an ectopic breast cancer in the left axilla and sentinel lymphnode identification by the patent blue dye technique. The studies about lymphatic drainage of the ectopic mammary tissue and sentinel lymph node identification in this rare situation were also reviewed.
Key-words BreastBreast neoplasmsCase reportsLymphatic metastasisLymphatic vesselsSentinel lymph node biopsySee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Lymphatic metastasis Archives - Revista Brasileira de Ginecologia e Obstetrícia
