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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
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Published on: November 6, 2019

La axila: no es una zona prohibida.

I S Fentiman1, R E Mansel

  • 1ICRF Clinical Oncology Unit, Guy's Hospital, London, UK.

Lancet (London, England)
|January 26, 1991
PubMed
Resumen

Muchos cirujanos del Reino Unido tratan insuficientemente el cáncer de mama operable al evitar el aclaramiento axilar, lo que podría obstaculizar la supervivencia de la paciente. La estadificación axilar inadecuada pone en riesgo las metástasis perdidas y la terapia adyuvante inadecuada, lo que compromete las tasas de curación.

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Área de la Ciencia:

  • Oncología Oncología.
  • Oncología Quirúrgica Oncología Quirúrgica.
  • Investigación del cáncer de mama Investigación del cáncer de mama.

Sus antecedentes:

  • El tratamiento del cáncer de mama operable en el Reino Unido a menudo implica una estadificación axilar inadecuada.
  • Los cirujanos pueden evitar el aclaramiento axilar debido a preocupaciones sobre el alcance quirúrgico.

Objetivo del estudio:

  • Para resaltar la inadecuación de las actuales estrategias de tratamiento axilar para el cáncer de mama operable.
  • Para enfatizar la importancia de la estadificación axilar apropiada para los resultados de los pacientes.

Principales métodos:

  • Revisión de las prácticas quirúrgicas actuales y las pautas de tratamiento para el cáncer de mama operable.
  • Análisis del impacto de la estadificación axilar en la supervivencia del paciente y la selección de la terapia adyuvante.

Principales resultados:

  • La exploración axilar inadecuada conduce a nódulos metastásicos perdidos en algunos pacientes.
  • El bajo estadio de la enfermedad axilar impide que muchos pacientes reciban los tratamientos adyuvantes necesarios.

Conclusiones:

  • El aclaramiento axilar es crucial para la estadificación precisa y el tratamiento efectivo del cáncer de mama operable.
  • Una mejor estadificación axilar puede mejorar la supervivencia libre de recaídas y la supervivencia general a través de una terapia adyuvante adecuada.