Breast Cancer - Department of Surgery at SUNY Downstate Medical ...

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BCT vs MRMProspective Randomized TrialsTrialBCTInstitute Gustave Roussy 73SurvivalMRMLocal recurrenceBCTMRM73 65 9 14Milan Cancer Institute 42 41 7 2NSABP B06 46 47 14 10NCI 59 58 22 6EORTC 65 66 20 12
Axillary Nodes• Staging procedures• Sentinel lymph node biopsy• Sentinel LN- 1 st LN that receives drainage from the cancer.• Uses lymphazurin blue dye, colloids labeled withradioactive isotope (technetium), or both.• Less morbid than axillary LD dissection.• 10% false-negative(Krag, et al).• Contraindications• Clinically positive axillary LN• Locally advanced breast cancer• Patient is pregnant or lactating• Prior axillary surgery.
Page 2 and 3: Case Presentation• 36 y/o female
Page 4 and 5: Case Presentation• Lumpectomy and
Page 6: Modified Radical Mastectomy
Page 9 and 10: Case Presentation• Pt was dischar
Page 11 and 12: • Breast cancerBreast Cancer• M
Page 13 and 14: TNM Classification for Breast• Pr
Page 15 and 16: TNM Classification for Breast• Di
Page 17 and 18: Stage 0 - TisLobular Carcinoma In S
Page 19 and 20: Stage 0 - TisDuctal Carcinoma In Si
Page 21 and 22: Stage I and Stage II Breast Cancer
Page 23: Stage I and Stage II Breast Cancer
Page 27 and 28: Stage III and Stage IV Breast Cance

Breast Cancer - Department of Surgery at SUNY Downstate Medical ...

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