open access

Vol 63, No 3 (2013)
Review paper
Published online: 2013-07-16
Get Citation

Nomograms in therapeutic treatment of patients with breast cancer with metastatic changes in sentinel lymph node — causes, types of point systems and evaluation of their clinical value

Tomasz Nowikiewicz, Wojciech Zegarski
DOI: 10.5603/NJO.2013.0006
·
Nowotwory. Journal of Oncology 2013;63(3):250-256.

open access

Vol 63, No 3 (2013)
Review article
Published online: 2013-07-16

Abstract

Sentinel lymph node (SLN) biopsy procedure in patients with non-advanced breast cancer made it possible to considerably
reduce the intensity of unfavourable after-eff ects connected with classical axillary lymphadenectomy. The
presence of metastatic changes in SLN coexists in some patients with metastases to non-SLN. Depending on the size
of the metastases detected in SLN, the above mentioned clinical situation may aff ect from 10–41% of cases. Therefore
in about 3/5ths of patients with diagnosed SLN metastasis, histopathologi cal examination of removed axillary lymph
nodes — within the radicalization of surgical treatment, will not reveal further changes. Presently available calculation
devices (nomograms) for measuring the likelihood of metastases in non-SLN of the armpit make it possible
to accurately determine the probability of their occurrence. They therefore simplify further therapeutic decisions.

Abstract

Sentinel lymph node (SLN) biopsy procedure in patients with non-advanced breast cancer made it possible to considerably
reduce the intensity of unfavourable after-eff ects connected with classical axillary lymphadenectomy. The
presence of metastatic changes in SLN coexists in some patients with metastases to non-SLN. Depending on the size
of the metastases detected in SLN, the above mentioned clinical situation may aff ect from 10–41% of cases. Therefore
in about 3/5ths of patients with diagnosed SLN metastasis, histopathologi cal examination of removed axillary lymph
nodes — within the radicalization of surgical treatment, will not reveal further changes. Presently available calculation
devices (nomograms) for measuring the likelihood of metastases in non-SLN of the armpit make it possible
to accurately determine the probability of their occurrence. They therefore simplify further therapeutic decisions.
Get Citation
About this article
Title

Nomograms in therapeutic treatment of patients with breast cancer with metastatic changes in sentinel lymph node — causes, types of point systems and evaluation of their clinical value

Journal

Nowotwory. Journal of Oncology

Issue

Vol 63, No 3 (2013)

Article type

Review paper

Pages

250-256

Published online

2013-07-16

DOI

10.5603/NJO.2013.0006

Bibliographic record

Nowotwory. Journal of Oncology 2013;63(3):250-256.

Authors

Tomasz Nowikiewicz
Wojciech Zegarski

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