Mr. Richard Reyes 3.pdf

Considerations For the Future in 2002:1. Size of IMC metastasis2. Staging N1v N3 – if IMC alone N1, if combined N3?3. Role for surgery – Lacour and Meier subset analysis4. Indications and protocols for DXT – is there only local benefit?• Primary tumour medial and above a certain size?• Axillary involvement5. IMC +ve SN – protocols need to be standardised but how doesone trial this?6. How to manage the Non axillary SN with axilla –ve for SN?• Traditionally by clearance but SLNB with dye revealed SNsin 8/23, 10/15 ANC avoided and these patients still DF.