Cited 17 times in
Outcome of breast-conserving treatment for axillary lymph node metastasis from occult breast cancer with negative breast MRI
DC Field | Value | Language |
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dc.contributor.author | 김용배 | - |
dc.contributor.author | 장지석 | - |
dc.date.accessioned | 2022-09-06T06:35:29Z | - |
dc.date.available | 2022-09-06T06:35:29Z | - |
dc.date.issued | 2020-02 | - |
dc.identifier.issn | 0960-9776 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/190221 | - |
dc.description.abstract | Purpose: 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.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | BREAST | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adenocarcinoma / diagnostic imaging | - |
dc.subject.MESH | Adenocarcinoma / mortality | - |
dc.subject.MESH | Adenocarcinoma / pathology | - |
dc.subject.MESH | Adenocarcinoma / surgery* | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Axilla | - |
dc.subject.MESH | Breast Neoplasms / diagnostic imaging | - |
dc.subject.MESH | Breast Neoplasms / mortality | - |
dc.subject.MESH | Breast Neoplasms / pathology | - |
dc.subject.MESH | Breast Neoplasms / surgery* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lymph Node Excision* | - |
dc.subject.MESH | Lymphatic Metastasis | - |
dc.subject.MESH | Magnetic Resonance Imaging* | - |
dc.subject.MESH | Mastectomy, Segmental* | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Survival Analysis | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Outcome of breast-conserving treatment for axillary lymph node metastasis from occult breast cancer with negative breast MRI | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiation Oncology (방사선종양학교실) | - |
dc.contributor.googleauthor | Haeyoung Kim | - |
dc.contributor.googleauthor | Won Park | - |
dc.contributor.googleauthor | Su Ssan Kim | - |
dc.contributor.googleauthor | Sung Ja Ahn | - |
dc.contributor.googleauthor | Yong Bae Kim | - |
dc.contributor.googleauthor | Tae Hyun Kim | - |
dc.contributor.googleauthor | Jin Hee Kim | - |
dc.contributor.googleauthor | Jin-Hwa Choi | - |
dc.contributor.googleauthor | Hae Jin Park | - |
dc.contributor.googleauthor | Jee Suk Chang | - |
dc.contributor.googleauthor | Doo Ho Choi | - |
dc.identifier.doi | 10.1016/j.breast.2019.10.017 | - |
dc.contributor.localId | A00744 | - |
dc.contributor.localId | A04658 | - |
dc.relation.journalcode | J00400 | - |
dc.identifier.eissn | 1532-3080 | - |
dc.identifier.pmid | 31734590 | - |
dc.subject.keyword | Neoplasms | - |
dc.subject.keyword | Unknown primary | - |
dc.subject.keyword | Breast neoplasm | - |
dc.subject.keyword | Lymph nodes | - |
dc.subject.keyword | Magnetic resonance imaging | - |
dc.subject.keyword | Radiotherapy | - |
dc.contributor.alternativeName | Kim, Yong Bae | - |
dc.contributor.affiliatedAuthor | 김용배 | - |
dc.contributor.affiliatedAuthor | 장지석 | - |
dc.citation.volume | 49 | - |
dc.citation.startPage | 63 | - |
dc.citation.endPage | 69 | - |
dc.identifier.bibliographicCitation | BREAST, Vol.49 : 63-69, 2020-02 | - |
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