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Cserni, G; Zombori, T; Andreu, X; Bianchi, S; Regitnig, P; Amendoeira, I; Balmativola, D; Kovács, A; Cordoba, A; Reiner, A; Kulka, J; Kaya, H; Liepniece-Karele, I; Quinn, C; Kővári, B.
Is Regression after Neoadjuvant Chemotherapy for Locally Advanced Breast Cancer Different in Sentinel and Non-sentinel Nodes?
Pathol Oncol Res. 2018; 24(1):167-170
Doi: 10.1007/s12253-017-0229-z
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- Co-Autor*innen der Med Uni Graz
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Regitnig Peter
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- Abstract:
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Tumor draining sentinel lymph nodes (SLNs) are the sites of selective changes as compared to non-SLNs. They show features of tumor-reactive lymphadenopathy, including increased total number of functional blood vessels, but a relative immunosuppressed status has also been described in them. We explored the hypothesis of a selective regression or non-regression in SLNs versus non-SLNs in 142 patients with 110 estrogen receptor-positive and 32 estrogen receptor-negative tumors undergoing both SLN biopsy and axillary lymph node dissection after neoadjuvant therapy by assessing the tumoral (metastatic) and regression statuses of SLNs and non-SLNs separately. Of the 89 cases with signs of nodal regression, 22 cases (25%) were in favor of a selective non-regression in SLNs, 18 cases (20%) were supportive of a selective and more pronounced regression in the SLNs and the remaining showed equal degrees of regression or non-regression in SLNs and non-SLNs. The results indicate that there is no obvious difference in the degree of regressive histological changes shown by SLNs and NSLNs. Therefore, this phenomenon may not be a major contributor to the higher false negative rate of SLN biopsy after neoadjuvant treatment.
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Axilla -
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Breast Neoplasms - drug therapy
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Breast Neoplasms - pathology
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Breast Neoplasms - surgery
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Female -
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Follow-Up Studies -
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Humans -
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Lymph Node Excision -
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Lymph Nodes - pathology
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Lymph Nodes - surgery
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Middle Aged -
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Neoadjuvant Therapy -
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Prognosis -
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Retrospective Studies -
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Sentinel Lymph Node - pathology
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Sentinel Lymph Node - surgery
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Sentinel Lymph Node Biopsy -
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Sentinel lymph node
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Non-sentinel lymph node
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Breast cancer
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Neoadjuvant therapy
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Selective regression