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A logistic regression model predicting high axillary tumour burden in early breast cancer patients
Barco, I; García Font, M; García-Fernández, A; Giménez, N; Fraile, M; Lain, JM; Vallejo, E; González, S; Canales, L; Deu, J; Vidal, MC; Rodríguez-Carballeira, M; Pessarrodona, A; Chabrera, C.
Afiliação
  • Barco, I; University Hospital of Mútua Terrassa. Department of Gynecology. Breast Unit. Terrassa. Spain
  • García Font, M; University International of Catalunya. Barcelona. Spain
  • García-Fernández, A; University Hospital of Mútua Terrasa. Department of Gynecology. Breast Unit. Terrassa. Spain
  • Giménez, N; Research Foundation Mútua Terrassa. Research Unit. Terrassa. Spain
  • Fraile, M; University Hospital of Mútua Terrassa. Nuclear Medicine Department. Terrassa. Spain
  • Lain, JM; Hospital of Terrassa. Department of Gynecology. Breast Unit. Terrassa. Spain
  • Vallejo, E; University Hospital of Mútua Terrassa. Department of Gynecology. Breast Unit. Terrassa. Spain
  • González, S; University Hospital of Mútua Terrassa. Department of Oncology. Terrassa. Spain
  • Canales, L; University Hospital of Mútua Terrassa. Department of Radiology. Terrassa. Spain
  • Deu, J; University Hospital of Mútua Terrassa. Department of Gynecology. Breast Unit. Terrassa. Spain
  • Vidal, MC; Institut Catala de la Salut. Department of Nursing. Barcelona. Spain
  • Rodríguez-Carballeira, M; University Hospital of Mútua Terrassa. Department of Internal Medicine. Terrassa. Spain
  • Pessarrodona, A; University Hospital of Mútua Terrassa. Department of Gynecology. Breast Unit. Terrassa. Spain
  • Chabrera, C; TecnoCampus. School of Health Science. Department of Nursing. Mataró. Spain
Clin. transl. oncol. (Print) ; 19(11): 1393-1399, nov. 2017. tab
Artigo em Inglês | IBECS | ID: ibc-167121
Biblioteca responsável: ES1.1
Localização: BNCS
ABSTRACT
Purpose. As elective axillary dissection is loosing ground for early breast cancer (BC) patients both in terms of prognostic and therapeutic power, there is a growing interest in predicting patients with (nodal) high tumour burden (HTB), especially after a positive sentinel node biopsy (SNB) because they would really benefit from further axillary intervention either by complete lymph-node dissection or axillary radiation therapy. Methods/patients. Based on an analysis of 1254 BC patients in whom complete axillary clearance was performed, we devised a logistic regression (LR) model to predict those with HTB, as defined by the presence of three or more involved nodes with macrometastasis. This was accomplished through prior selection of every variable associated with HTB at univariate analysis. Results. Only those variables shown as significant at the multivariate analysis were finally considered, namely tumour size, lymphovascular invasion and histological grade. A probability table was then built to calculate the chances of HTB from a cross-correlation of those three variables. As a suggestion, if we were to follow the rationale previously used in the micrometastasis trials, a threshold of about 10% risk of HTB could be considered under which no further axillary treatment is warranted. Conclusions. Our LR model with its probability table can be used to define a subgroup of early BC patients suitable for axillary conservative procedures, either sparing completion lymph-node dissection or even SNB altogether (AU)
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Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Axila / Neoplasias da Mama / Modelos Logísticos / Biópsia de Linfonodo Sentinela / Carga Tumoral Tipo de estudo: Estudo prognóstico / Fatores de risco Limite: Feminino / Humanos Idioma: Inglês Revista: Clin. transl. oncol. (Print) Ano de publicação: 2017 Tipo de documento: Artigo Instituição/País de afiliação: Hospital of Terrassa/Spain / Institut Catala de la Salut/Spain / Research Foundation Mútua Terrassa/Spain / TecnoCampus/Spain / University Hospital of Mútua Terrasa/Spain / University Hospital of Mútua Terrassa/Spain / University International of Catalunya/Spain
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Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Axila / Neoplasias da Mama / Modelos Logísticos / Biópsia de Linfonodo Sentinela / Carga Tumoral Tipo de estudo: Estudo prognóstico / Fatores de risco Limite: Feminino / Humanos Idioma: Inglês Revista: Clin. transl. oncol. (Print) Ano de publicação: 2017 Tipo de documento: Artigo Instituição/País de afiliação: Hospital of Terrassa/Spain / Institut Catala de la Salut/Spain / Research Foundation Mútua Terrassa/Spain / TecnoCampus/Spain / University Hospital of Mútua Terrasa/Spain / University Hospital of Mútua Terrassa/Spain / University International of Catalunya/Spain
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