A survey of surgical management of the axilla in UK breast cancer patients

European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)
M S Gaston, J M Dixon

Abstract

The aim of our study was to survey management of the axilla by specialist breast surgeons in the United Kingdom (UK). The questionnaire was returned by 371 surgeons, 366 (99%) were consultants and 96% treated more than 50 cases of breast cancer every year. 28% treated patients with invasive breast cancer by axillary clearance (AxCl) alone, 5% used sampling alone (AxNS), 40% used both AxCl and AxNS, 10% AxCl and sentinel lymph node (SLN) biopsy and 17% AxCl, AxNS and SLN biopsy. 9% cleared to level I, and sometimes to level II, 42% to level II and 49% to level III. 56% tried to preserve one or multiple intercostal nerves and 44% routinely divided the intercostalbrachial nerves. 52% performed SNB within trials alone and 36% out side of trials only. A range of techniques were described for the SLN biopsy procedure. There is no consistent practice of managing the axilla in the UK and standardisation is required. SLN biopsy is performed both within and outside of trials and a variety of techniques are used.

References

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Citations

Mar 31, 2007·The Lancet Oncology·John R BensonUNKNOWN Axilla Management Consensus Group
May 20, 2015·The Science of the Total Environment·Jérôme FortPaco Bustamante
Apr 6, 2007·Molecular Phylogenetics and Evolution·Andrea L SmithVicki L Friesen
Apr 21, 2007·Molecular Ecology·V L FriesenK D McCoy
Jun 17, 2006·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J MathewD Crawford
Aug 20, 2005·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A D PurushothamG C Wishart
May 16, 2015·The Journal of Animal Ecology·Rémi FayChristophe Barbraud
Aug 21, 2013·The Breast : Official Journal of the European Society of Mastology·V ParmarR A Badwe
Jun 5, 2010·Annals of the Royal College of Surgeons of England·Ronan W GlynnJ Michael Dixon

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