NDLI: Patients' choice on axillary lymph node dissection following sentinel lymph node micrometastasis--first report on prospective use of a nomogram in very low risk patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cserni, Gábor Bezsenyi, Istvánné Markó, László
Description	Country affiliation: Hungary Author Affiliation: Cserni G ( Department of Pathology, Bács-Kiskun County Teaching Hospital, Nyíri út 38., 6000, Kecskemét, Hungary. cserni@freemail.hu)
Abstract	The optimal locoregional treatment of patients diagnosed with sentinel node (SN) micrometastasis is controversial. A previously reported and validated nomogram was used to calculate the risk of non-SN metastasis in patients with SN micrometastasis over a period of 2 years. Patients were given detailed information about the risk, consequences and treatment options of non-SN involvement, the risk and potential complications of unnecessary completion axillary lymph node dissection (ALND), the imperfectness of the nomogram, and other factors that may influence their selection of further treatment. They also received a questionnaire to monitor factors influencing their decisions. Of the 25 patients participating in the study, 10 have opted for ALND. The only factor that seemed to influence their choice was fear from disease recurrence. Giving detailed information to SN micrometastatic patients is a patient-centered alternative to current recommendations on performing ALND in all such patients or omitting ALND in all of them.
File Format	HTM / HTML
ISSN	12194956
Issue Number	2
Volume Number	19
e-ISSN	15322807
Journal	Pathology & Oncology Research
Language	English
Publisher	Springer
Publisher Date	2013-04-01
Publisher Place	Netherlands
Access Restriction	Subscribed
Subject Keyword	Discipline Oncology Breast Neoplasms Pathology Surgery Choice Behavior Lymph Nodes Lymphatic Metastasis Adult Aged Axilla Female Humans Lymph Node Excision Methods Middle Aged Neoplasm Micrometastasis Nomograms Prospective Studies Sentinel Lymph Node Biopsy Journal Article
Content Type	Text
Resource Type	Article
Subject	Cancer Research Pathology and Forensic Medicine Oncology

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