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Outcome of breast-conserving treatment for axillary lymph node metastasis from occult breast cancer with negative breast MRI

DC Field Value Language
dc.contributor.author김용배-
dc.contributor.author장지석-
dc.date.accessioned2022-09-06T06:35:29Z-
dc.date.available2022-09-06T06:35:29Z-
dc.date.issued2020-02-
dc.identifier.issn0960-9776-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/190221-
dc.description.abstractPurpose: We conducted this study to investigate the prognosis and failure pattern after breast-conserving treatment (BCT) in patients with occult breast cancer (OBC) with negative breast magnetic resonance imaging (MRI) (MRI-OBC). Materials and methods: Survival rates and failure patterns in 66 patients who received axillary lymph node dissection (ALND) and BCT for MRI-OBC between 2001 and 2013 at seven hospitals were analyzed. OBC was defined as adenocarcinoma in the axillary lymph node (ALN) +/- supraclavicular (SCN) or internal mammary lymph node (IMN) with a negative breast MRI. Results: Fifty-four patients had only ALN metastasis (ALN only), and 12 patients had ALN metastasis along with SCN or IMN metastasis (ALN + SCN/IMN). Median follow-up was 82 months. The 5-year overall, disease-free, and breast cancer-free survival rates were 93.4%, 92.1%, and 96.8%, respectively. Nine patients experienced recurrence: breast (n = 4), regional lymph nodes (RLN, n = 1), distant metastases (DM, n = 2), breast/RLN (n = 1), and breast/RLN/DM (n = 1). Five-year disease-free survival was significantly higher in ALN only patients compared to ALN + SCN/IMN patients (96.1% vs. 75.0%; p = 0.02). Conclusions: Patients with MRI-OBC were successfully treated with BCT. There was a small risk of ipsilateral breast cancer recurrence. Failure patterns depended on the extent of initial disease. (C) 2019 Published by Elsevier Ltd.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfBREAST-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAdenocarcinoma / diagnostic imaging-
dc.subject.MESHAdenocarcinoma / mortality-
dc.subject.MESHAdenocarcinoma / pathology-
dc.subject.MESHAdenocarcinoma / surgery*-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAxilla-
dc.subject.MESHBreast Neoplasms / diagnostic imaging-
dc.subject.MESHBreast Neoplasms / mortality-
dc.subject.MESHBreast Neoplasms / pathology-
dc.subject.MESHBreast Neoplasms / surgery*-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHLymph Node Excision*-
dc.subject.MESHLymphatic Metastasis-
dc.subject.MESHMagnetic Resonance Imaging*-
dc.subject.MESHMastectomy, Segmental*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSurvival Analysis-
dc.subject.MESHTreatment Outcome-
dc.titleOutcome of breast-conserving treatment for axillary lymph node metastasis from occult breast cancer with negative breast MRI-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiation Oncology (방사선종양학교실)-
dc.contributor.googleauthorHaeyoung Kim-
dc.contributor.googleauthorWon Park-
dc.contributor.googleauthorSu Ssan Kim-
dc.contributor.googleauthorSung Ja Ahn-
dc.contributor.googleauthorYong Bae Kim-
dc.contributor.googleauthorTae Hyun Kim-
dc.contributor.googleauthorJin Hee Kim-
dc.contributor.googleauthorJin-Hwa Choi-
dc.contributor.googleauthorHae Jin Park-
dc.contributor.googleauthorJee Suk Chang-
dc.contributor.googleauthorDoo Ho Choi-
dc.identifier.doi10.1016/j.breast.2019.10.017-
dc.contributor.localIdA00744-
dc.contributor.localIdA04658-
dc.relation.journalcodeJ00400-
dc.identifier.eissn1532-3080-
dc.identifier.pmid31734590-
dc.subject.keywordNeoplasms-
dc.subject.keywordUnknown primary-
dc.subject.keywordBreast neoplasm-
dc.subject.keywordLymph nodes-
dc.subject.keywordMagnetic resonance imaging-
dc.subject.keywordRadiotherapy-
dc.contributor.alternativeNameKim, Yong Bae-
dc.contributor.affiliatedAuthor김용배-
dc.contributor.affiliatedAuthor장지석-
dc.citation.volume49-
dc.citation.startPage63-
dc.citation.endPage69-
dc.identifier.bibliographicCitationBREAST, Vol.49 : 63-69, 2020-02-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers

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