Dissecção da Axila no Tratamento do Câncer de Mama

Authors

  • Sérgio Luis Faria Departamento de Radioterapia. Centro de Oncologia Campinas. Campinas (SP), Brasil
  • Werner R. Schlupp Departamento de Radioterapia. Centro de Oncologia Campinas. Campinas (SP), Brasil
  • Ludmila S. Medina da Cunha Departamento de Radioterapia. Centro de Oncologia Campinas. Campinas (SP), Brasil
  • Honôrio Chiminazzo Jr Departamento de Radioterapia. Centro de Oncologia Campinas. Campinas (SP), Brasil
  • Juvenal A. de Oliveira Filho Departamento de Oncologia Médica. Centro de Oncologia Campinas. Campinas (SP), Brasil
  • Fernando Medina da Cunha Departamento de Oncologia Médica. Centro de Oncologia Campinas. Campinas (SP), Brasil

DOI:

https://doi.org/10.32635/2176-9745.RBC.1987v33n1.3184

Keywords:

Breast Neoplasms, Axiliar Dissection, Complications

Abstract

Axiliar dissection and conservative treatment of breast cancer are discussed after evaluation of 148 patients referred to Centro de Oncologia Campinas. Only half of the patients underwent axiliar dissection. The real need of this surgical procedure must be very well discussed, patien by patient, as treatment results could be the same without this step in surgery. Surgical risks, among other data, is evaluated, as well as chances of improving general prognosis in breast cancer patients.

Downloads

Download data is not yet available.

References

Handiey RS - Carcinoma of the breast. Ann R Coll Surg, 1975; 53:59.66.

Harris JR, Hellman S, Canellos GP, Fisher B - Cancer of the Breast. In: De Vita VT, Hellman S, Rosemberg SA (eds): Cancer, Principies and Practice of Oncology, pp 1119-1177. Philadelphia J B Lippincott Co, 2nd Ed, 1985.

Canellos GP, Hellman S, Veronesi U — Occasional Notes — The management of early breast cancer. New Eng J Med, 1982: 306(23):1430-1432. DOI: https://doi.org/10.1056/NEJM198206103062321

Consensos Conference — Adjuvant chemotherapy for breast cancer. JAVA, 1985:254(24):3461-3463. DOI: https://doi.org/10.1001/jama.254.24.3461

Larson D, Weinstein M, Goldberg I, Harris J — Arm edema is influenced by the exteot ofaxiliary surgery in patients treated with primary XRT. Int J Radiation Oncology Biol Phys, 1984: 10 (supp 2):78. DOI: https://doi.org/10.1016/0360-3016(84)90660-6

Smith JA, Gomez Araújo J J, Gallagher HS et al - Carcinoma of the breast: Analysis of total lymph node involvement versus levei of metastasis. Cancer, 1977:39:527. DOI: https://doi.org/10.1002/1097-0142(197702)39:2<527::AID-CNCR2820390221>3.0.CO;2-N

Pickren JW – Significance of occult metastasis. Cancer, 1961:14:1266-1271. DOI: https://doi.org/10.1002/1097-0142(196111/12)14:6<1266::AID-CNCR2820140617>3.0.CO;2-9

Schottenfeld D, Nash AG, Robbins GP et al - Ten-year resuits of the treatment of primary operable breast carcinoma. Cancer, 1976: 38: 1001-1007. DOI: https://doi.org/10.1002/1097-0142(197608)38:2<1001::AID-CNCR2820380252>3.0.CO;2-5

FISHER B — A commentary on the role of the surgeon in primary breast cancer Breast Cancer Research Treat, 1981; 1:17-26. DOI: https://doi.org/10.1007/BF01807887

Fisher B, Redmond C, Fisher ER, Banes M et al — Ten-year results of a randomized clinical trial comparing radical mastectomy and total mastectomy wlth or without radiation. N EngI J Med, 1985: 321(11): 674-681. DOI: https://doi.org/10.1056/NEJM198503143121102

Cancer Research Campaign Working Party. Cancer Research Campaign trial for early breast cancer Lancet, 1980: 2: 55-60.

Rose CM, Botnick LE, Harris Jr et al - The use ofaxiliary sampling to determine nodal status in patients undergoing definitive breast irradiation (abstract). Int J Radiation Oncology Biol Phys, 1978: 4: 174. DOI: https://doi.org/10.1016/0360-3016(78)90366-8

Fisher B, Slack NM - Number of lymph nodes examined and lhe prognosis of breast cancer Surg Gynecol Obstet, 1970; 131:79-80.

Fisher ER, Swwidoss S, ljee CH et al - Detection and significance of occult axiliary lymph node metastasis in patients with invasive breast cancer Cancer, 1978: 42: 2025-2031. DOI: https://doi.org/10.1002/1097-0142(197810)42:4<2025::AID-CNCR2820420452>3.0.CO;2-J

Bonadonna G,Valagussa P - Adjuvant systemic therapy for resectable breast cancer. J Clin Oncol, 1985: 3(2): 259-275. DOI: https://doi.org/10.1200/JCO.1985.3.2.259

Baum M, Coyie PJ - Simple mastectomy for early breast cancer and the behaviour of the untreated axiliary nodes. BulI Cancer (Parisl, 1977; 64: 603-610.

Turnbull AR — Treatment of early breast cancer: the case for axiliary clearance. Camps Ther, 1970:5:7-12.

Fisher B, Wolmar N, Banes M, Redmond C, Geshardt M – The accuracy of clinicai nodal staging and of limited axiliary dissection as a determinam of histologic nodal status in carcinoma of the breast. Sur Gynecol Obstet, 1981: 152: 765-772.

de Moss EU, Lichter AS, Lippman ME, Gerber NL, ReichertCM etal — Complete axiliary lymph node disection before radiotherapy for primary breast cancer In Harris JH, Hellman S, Silen W: Conservative Management of Breast Cancer. J B Lippincott Co, Philadelphia 1983; Chapter 17, pg 163-182.

Haagensen CD - Diseases of the Breast, 2nd ed, Philadelphia, W B Saunders Co, 1971.

Baeza MR, Anaztcc, Solá Rodriguez R — Conservative surgery followed by radical radiotherapy in the management of stage I carcinoma of the breast. Int J Radiation Oncology Biol Phys, 1982; 8(10): 1775-1780. DOI: https://doi.org/10.1016/0360-3016(82)90301-7

Rose CM, Botnick LE, Goodman RL, Harris JR, Findiay PA, Richter MP, Silen W, Hellman S — The role of limited axiliary dissection in the treatment of breast cancer by primary irradiatíon. In Harris JH, Hellman S, Silen W: Conservative Management of Breast Câncer. J B Lippincott Co, Philadelphia 1983; Chapter 16, pg 155-162.

Faria SL, Chiminazzo H — Radioterapia no tratamento conservador do câncer da mama: técnicas, complicaçõese resultados cosméticos. Radiol Bras, 1985; 18: 216-220.

Faria SL, Chiminazzo JR, Koseki N, Oliveira F° JA — Cirurgia conservadora e radioterapia no tratamento do câncer da mama: resultados preliminares de 148 pacientes. Rev Ass Med Brasil, 1986, 32:54-60.

Fisher B, Slack NM, Cavanaugh PJ et al - Postoperative radiotherapy in the treatment of breast cancer: results of the NSABP clinicai trial. Ann Surg 1970 172: 711-730. DOI: https://doi.org/10.1097/00000658-197010000-00016

Valagussa P, Bonadonna G, Veronesi U — Patterns of relapse and survival following radical mastectomy. Cancer, 1978; 41:1170-1178. DOI: https://doi.org/10.1002/1097-0142(197803)41:3<1170::AID-CNCR2820410355>3.0.CO;2-I

Published

2023-08-04

How to Cite

1.
Faria SL, Schlupp WR, Cunha LSM da, Chiminazzo Jr H, Oliveira Filho JA de, Cunha FM da. Dissecção da Axila no Tratamento do Câncer de Mama. Rev. Bras. Cancerol. [Internet]. 2023 Aug. 4 [cited 2024 Dec. 23];33(1):13-21. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/3184

Issue

Section

ORIGINAL ARTICLE

Most read articles by the same author(s)