Title: Re-dissection of axillary lymph nodes in 36 cases with recurrent breast cancer
Abstract: Objective To explore the feasibility of re-operation for the cases with postoperative axillary lymph nodes metastases and regional residual because of non-standard surgery.Methods From June 2001 to August 2010,36 patients with re-dissection of axillary lymph nodes were included,and their clinical pathological data,perioperative comprehensive treatment measures,and 1,3,5-year follow-up data were retrospectively analyzed.Results Nineteen cases were treated with non-standard surgery(52.78%,axillary residual mass re-dissection in 11 cases vs.recurrent chest wall mass excision plus axillary lymph node dissection in 8 cases).Another 17 cases received axillary lymph node dissection or plus chest wall mass resection(modified radical mastectomy in 11 cases vs.Halsted in 6 cases;axillary recurrence in 12 cases vs.axillary and chest wall recurrence in 5 cases).Total 346 axillary lymph nodes were found in all the cases,with an average number of 17.78(7~35),in which positive lymph nodes were 16.76%(58,1~13).After the second time operation,all the cases were treated with 4~6 cycles of chemotherapy or radiotherapy,and some with immunotherapy.For the post-operative follow up,2 patients died within 1 year,10 cases died within 3 year,and 15 patients died within 5 year.And the 1,3,5-year survival rates were 94%,72%,58%,respectively.Conclusions Standardized surgery is a crucial and effective procedure for the cases with breast cancer to prevent recurrence and metastasis.For the patients with local recurrence and/or axillary lymph node metastasis,re-operation would help to control the advancement,and perioperative standardized treatment would also help to improve the quality of life.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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