Axillary dissection can be avoided in selected breast cancer patients

Analysis of 401 cases

M. Greco, R. Agresti, R. Raselli, R. Giovanazzi, U. Veronesi

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

The role of axillary dissection in early breast cancer remains controversial because of its uncertain value with respect to disease free and overall survival. 401 breast cancer patients underwent breast surgery without auxillary dissection from January 1986 to June 1994. 323 (81%) patients were postmenopausal whereas 78 (19%) were premenopausal status, the mean age was 62.9 years. 216 out of 401 patients (53.6%) had a pathological tumour ≤1 cm, 133 (33.6%) were between 1 and 2 cm, whereas 38 (9.5%) had a tumour size >2 cm. Breast conservative surgery was performed in 383 patients (95.6%). 257 patients (64.1%) received radiotherapy to the operated breast. In elderly patients adjuvant hormonotherapy was preferred considering the hormonal receptorial status. Accurate follow-up showed that 25 patients underwent delayed full axillary dissection, and pathological metastases were determined in 19 cases, so that the total rate of axillary relapses, histologically confirmed, was 4.7%. We conclude that axillary surgery can be avoided in selected breast cancer patients.

Original languageEnglish
Pages (from-to)3913-3917
Number of pages5
JournalAnticancer Research
Volume16
Issue number6 C
Publication statusPublished - 1996

Fingerprint

Dissection
Breast Neoplasms
Breast
Disease-Free Survival
Neoplasms
Radiotherapy
Neoplasm Metastasis
Recurrence

Keywords

  • Axillary dissection
  • Breast cancer
  • Surgical therapy

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Greco, M., Agresti, R., Raselli, R., Giovanazzi, R., & Veronesi, U. (1996). Axillary dissection can be avoided in selected breast cancer patients: Analysis of 401 cases. Anticancer Research, 16(6 C), 3913-3917.

Axillary dissection can be avoided in selected breast cancer patients : Analysis of 401 cases. / Greco, M.; Agresti, R.; Raselli, R.; Giovanazzi, R.; Veronesi, U.

In: Anticancer Research, Vol. 16, No. 6 C, 1996, p. 3913-3917.

Research output: Contribution to journalArticle

Greco, M, Agresti, R, Raselli, R, Giovanazzi, R & Veronesi, U 1996, 'Axillary dissection can be avoided in selected breast cancer patients: Analysis of 401 cases', Anticancer Research, vol. 16, no. 6 C, pp. 3913-3917.
Greco, M. ; Agresti, R. ; Raselli, R. ; Giovanazzi, R. ; Veronesi, U. / Axillary dissection can be avoided in selected breast cancer patients : Analysis of 401 cases. In: Anticancer Research. 1996 ; Vol. 16, No. 6 C. pp. 3913-3917.
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