Presence of the skip metastasis in axillary pit in patients undergoing surgery of primary breast carcinoma with lymphadenectomy
Journal
Macedonian Journal of Anaesthesia
Date Issued
2017-11
Author(s)
Karapetrov I
Ferati I
Ognenovska B
Ivkovski Lj
Abstract
Introduction:
Axillary status is an important prognostic factor for the breast carcinoma. The
axillary pit, can give wrong result for the occupancy at the axillary pit.
This can predict condition of the other nodes. Possibility of occurrence of the skip metastasis in
biopsy of the sentinel lymph node (SLND), gives us the possibility to remove only one node.
introduction of a minimally invasive procedure for determining the axillary status, detection and
Aim: Analysis of the 144 patients surgically treated for breast cancer by one surgeon in 2015
in order to assess percentage of skip metastasis.
Materials and methods: We analyzed the histopathological results of 144 patients surgically
were determined and marked.
treated by one surgeon, where level (1-3) of the lymph nodes in axillary pit intraoperatively
Results: There were analyzed 144 patients, with mean age of 57.3 years, with an average
size of the tumor of 29,54mm + 18.89, with an average removed of 15.45 lymph nodes, and from
the third level if there was no positive nodes in the frst and second level).
nodes in frst level and positive nodes in the third level, but there was no patient’s positivity in
level were 0.37. Only at two patients (1.38%) there were detected skip metastasis (affected 1-2
the third for 2.61. Thus positive for metastatic deposits were 3.76, and positive from the third
Conclusion: The percentage of skip metastasis in our study was 1.38%, which is really a small
for predicting axillary status and to predict the real situation of the other nodes in the axillary pit.
percentage, that gives us right to apply the method for sentinel lymph node detection and biopsy
Axillary status is an important prognostic factor for the breast carcinoma. The
axillary pit, can give wrong result for the occupancy at the axillary pit.
This can predict condition of the other nodes. Possibility of occurrence of the skip metastasis in
biopsy of the sentinel lymph node (SLND), gives us the possibility to remove only one node.
introduction of a minimally invasive procedure for determining the axillary status, detection and
Aim: Analysis of the 144 patients surgically treated for breast cancer by one surgeon in 2015
in order to assess percentage of skip metastasis.
Materials and methods: We analyzed the histopathological results of 144 patients surgically
were determined and marked.
treated by one surgeon, where level (1-3) of the lymph nodes in axillary pit intraoperatively
Results: There were analyzed 144 patients, with mean age of 57.3 years, with an average
size of the tumor of 29,54mm + 18.89, with an average removed of 15.45 lymph nodes, and from
the third level if there was no positive nodes in the frst and second level).
nodes in frst level and positive nodes in the third level, but there was no patient’s positivity in
level were 0.37. Only at two patients (1.38%) there were detected skip metastasis (affected 1-2
the third for 2.61. Thus positive for metastatic deposits were 3.76, and positive from the third
Conclusion: The percentage of skip metastasis in our study was 1.38%, which is really a small
for predicting axillary status and to predict the real situation of the other nodes in the axillary pit.
percentage, that gives us right to apply the method for sentinel lymph node detection and biopsy
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