ESTADIFICACIÓN BIMODAL DE LA AXILA TRAS EL DIAGNÓSTICO DE CÁNCER DE MAMA
Palabras clave:
ESTADIFICACIÓN BIMODAL, poster, seram, AXILA, CÁNCER DE MAMAResumen
Objetivos
INTRODUCCIÓN Y OBJETIVOS
La evaluación precisa del estado de los ganglios linfáticos axilares es esencial en el manejo del cáncer de mama.
En la actualidad, la biopsia selectiva del ganglio centinela (BSGC) es la técnica de elección para la estadificación de la axila. Su práctica reduce la necesidad de linfadenectomía y su morbilidad. No obstante, al ser una técnica invasiva presenta complicaciones como linfedema, parestesias o seroma. Además supone un aumento en los costes totales y en el tiempo para recibir tratamiento. Por este motivo se están investigando técnicas de imagen no invasivas como la ecografía axilar y RM para la estadificación axilar del cáncer de mama. A pesar de que existe gran variedad de técnicas, la ecografía axilar y la RM, son las más usadas.
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T. P. J.Farrell et al. The Z0011 Trial: Is this the end of axillary ultrasound in the pre-operative assessment of breast cancer patients?. Eur Radiol 2015;25(9):2682-7
Samphao S et al. Management of the axilla in women with breast cancer: current clinical practice and a new selective targeted approach. Ann Surg Oncol 15:1282–96 2.
C.Z Li et al. Axillary lymph node dissection versus sentinel lymph node biopsy alone for early breast cancer with sentinel node metástasis: A meta-analysis. EJSO 41, 2015. 958-966.
Kathryn L. Humphrey, MD. et al. To Do or Not to Do: Axillary Nodal Evaluation after ACOSOG Z0011 Trial. Radiographics, 2014.
Lucci A, McCall LM, Beitsch PD. Surgical complications associated with sentinel lymph node dissection (SLND) plus axillary lymph node dissection compared with SLND alone in the American College of Surgeons Oncology Group trial Z0011. J Clin Oncol, 2007; 25:3657–366
Houssami N, Ciatto S, Turner RM, Cody HS III, Macaskill P. Preoperative ultrasound-guided needle biopsy of axillary nodes in invasive breast cancer: meta-analysis of its accuracy and utility in staging the axilla. Ann Surg 2011; 254:243
http://www.nice.org.uk/nicemedia/pdf/ Guideline.pdf. National Institute for Clinical excellence clinical guideline 80: Early and locally advanced breast cancer, diagnosis and treatment.
Hiroyuki A, MD, Schacht D, MD, Kulkami K, MD, et al. Accuracy of axillary lymph node staging in breast cancer patients: An observer-performance study comparison of MRI and Ultrasound. Acad radiol 2013; 20: 1399-1404.
Jacob S. Ecanow, MD et al. Axillary Staging of Breast Cancer: What the Radiologist Should Know?. Radiographics, 2013.
Caudle A.S et al. Predicting the Extent of Nodal Disease in Early-Stage Breast Cancer. Ann Surg Oncol, 2014.
Lyman GH, Giuliano AE, Somerfield MR et al. American Society of Clinical Oncology guideline recommendations for sentinel lymph node biopsy in early-stage breast cancer. J Clin Oncol 2005; 23: 7703–20.
Duff M, Hill AD, McGreal G et al. Prospective evaluation of the morbidity of axillary clearance for breast cancer. Br J Surg 2001; 88: 114–117.
Carroll PA, O'Mahony D, McDermott R et al. Perioperative diagnosis of the positive axilla in breast cancer: a safe, time efficient algorithm. Eur J Surg Oncol 2011; 37:205–10.
Valente SA, Levine GM, Silverstein MJ, et al. Accuracy of predicting axilary lymph node positivity by phisical examination, mammography, ultrasonography and magnetic resonance imaging. Ann Surg Oncil 2012; 19:1825-1830.
Purushotham AD, Upponi S, Klevesath MB, et al. Morbidity after sentinel lymph node biopsy in primary breast cáncer: results from a randomized controlled trial. J Clin Oncol 2015; 23: 4312-4321.
Deurlo EE, Tanis PJ, Gilhuijs KG, et al. Reduction in the number of sentinel lymph node procedures by preoperative ultrasonography of the axila in breast cancer. Eur J Cancer 2003; 39: 1068-1073.
Podkrajsek M, Music MM, Kadivec M, et al. Role of ultrasound in the preoperative staging of patients with breast cancer. Eur Radiol 2005; 155: 1044-1050.
Cho N, Moon WK, Han W, et al. Preoperative sonographic classification of axilary lymph nodes in patients with breast cancer: node to node correlation with surgical histology and sentinel node biopsy results. AJR Am J Roentgenol 2009; 193: 1731-1737.
Alvarez S, Anorbe E, Alcorta P, et al. Role of sonography in the diagnosis of axillary lymph node metastases in breast cancer; a systematic review. AJR Am J Roentgenol 2006; 186: 1342-1348.
Mortellaro VE, Marshall J, Singer L, et al. Magnetic resonance imaging for axillary staging in patients with breast cancer. J Magn Reson Imaging 2009; 30: 309-312.
