Selective avoidance of lymphatic radiotherapy in the conservative management of women with early breast cancer.

  • McKinna F
  • Gothard L
  • Ashley S
 et al. 
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Abstract

Until recently, elective treatment of the lymphatic pathways in women with early invasive breast cancer was assumed to impact on quality of life rather than on overall survival. In a multidisciplinary breast clinic these considerations underpinned a policy of observation of the lymphatic pathways if axillary lymph nodes were not palpably enlarged and if recommendations for adjuvant systemic therapy did not depend on knowledge of pathological node status. This paper evaluates the long-term outcome of the observation policy in terms of lymphatic morbidity due to cancer recurrence.

Author-supplied keywords

  • Actuarial Analysis
  • Adult
  • Aged
  • Breast Neoplasms
  • Breast Neoplasms: pathology
  • Breast Neoplasms: radiotherapy
  • Breast Neoplasms: surgery
  • Chemotherapy, Adjuvant
  • Female
  • Follow-Up Studies
  • Humans
  • Longitudinal Studies
  • Lymph Nodes
  • Lymph Nodes: pathology
  • Lymph Nodes: radiation effects
  • Lymphatic Metastasis
  • Lymphatic Metastasis: pathology
  • Mastectomy, Segmental
  • Middle Aged
  • Neoplasm Invasiveness
  • Neoplasm Recurrence, Local
  • Neoplasm Recurrence, Local: pathology
  • Neoplasm Staging
  • Quality of Life
  • Radiotherapy, Adjuvant
  • Radiotherapy, High-Energy
  • Risk Factors
  • Survival Rate
  • Treatment Outcome

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Authors

  • F McKinna

  • L Gothard

  • S Ashley

  • S Ebbs

  • J Yarnold

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