Metastatic screening before adjuvant chemotherapy in breast cancer
Systematic metastasis staging in early breast cancer is no longer recommended. However, it is still performed before adjuvant chemotherapy. We assessed metastasis screening of asymptomatic women with a local breast cancer without lymph node involvement when adjuvant chemotherapy was indicated. The s...
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| Veröffentlicht in: | Bulletin du cancer Jg. 102; H. 5; S. 411 |
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01.05.2015
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| Abstract | Systematic metastasis staging in early breast cancer is no longer recommended. However, it is still performed before adjuvant chemotherapy.
We assessed metastasis screening of asymptomatic women with a local breast cancer without lymph node involvement when adjuvant chemotherapy was indicated. The screening result was classified in 3 groups: "non-metastatic", "metastatic" and "suspect". For suspect screening, we analyzed the checking period and the consequences on cares.
Out of 1545 patients with possible indication of chemotherapy, 690 indications of chemotherapy were validated by multidisciplinary meeting. Six hundred and thirty-nine metastasis screening were done. Five hundred and fifty-five screenings (86.9 %) were "non-metastatic", 3 screenings (0.5 %) were "metastatic" and 81 screenings (12.7 %) were "suspect". Out of this 81 suspect screening, only 47 screening have been checked, using 61 further investigations. No breast cancer metastasis was finally identified.
Low rate of metastasis suggest reassessing metastasis screening before adjuvant chemotherapy for patients without lymph node involvement. |
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| AbstractList | Systematic metastasis staging in early breast cancer is no longer recommended. However, it is still performed before adjuvant chemotherapy.
We assessed metastasis screening of asymptomatic women with a local breast cancer without lymph node involvement when adjuvant chemotherapy was indicated. The screening result was classified in 3 groups: "non-metastatic", "metastatic" and "suspect". For suspect screening, we analyzed the checking period and the consequences on cares.
Out of 1545 patients with possible indication of chemotherapy, 690 indications of chemotherapy were validated by multidisciplinary meeting. Six hundred and thirty-nine metastasis screening were done. Five hundred and fifty-five screenings (86.9 %) were "non-metastatic", 3 screenings (0.5 %) were "metastatic" and 81 screenings (12.7 %) were "suspect". Out of this 81 suspect screening, only 47 screening have been checked, using 61 further investigations. No breast cancer metastasis was finally identified.
Low rate of metastasis suggest reassessing metastasis screening before adjuvant chemotherapy for patients without lymph node involvement. Systematic metastasis staging in early breast cancer is no longer recommended. However, it is still performed before adjuvant chemotherapy.INTRODUCTIONSystematic metastasis staging in early breast cancer is no longer recommended. However, it is still performed before adjuvant chemotherapy.We assessed metastasis screening of asymptomatic women with a local breast cancer without lymph node involvement when adjuvant chemotherapy was indicated. The screening result was classified in 3 groups: "non-metastatic", "metastatic" and "suspect". For suspect screening, we analyzed the checking period and the consequences on cares.MATERIALS AND METHODSWe assessed metastasis screening of asymptomatic women with a local breast cancer without lymph node involvement when adjuvant chemotherapy was indicated. The screening result was classified in 3 groups: "non-metastatic", "metastatic" and "suspect". For suspect screening, we analyzed the checking period and the consequences on cares.Out of 1545 patients with possible indication of chemotherapy, 690 indications of chemotherapy were validated by multidisciplinary meeting. Six hundred and thirty-nine metastasis screening were done. Five hundred and fifty-five screenings (86.9 %) were "non-metastatic", 3 screenings (0.5 %) were "metastatic" and 81 screenings (12.7 %) were "suspect". Out of this 81 suspect screening, only 47 screening have been checked, using 61 further investigations. No breast cancer metastasis was finally identified.RESULTSOut of 1545 patients with possible indication of chemotherapy, 690 indications of chemotherapy were validated by multidisciplinary meeting. Six hundred and thirty-nine metastasis screening were done. Five hundred and fifty-five screenings (86.9 %) were "non-metastatic", 3 screenings (0.5 %) were "metastatic" and 81 screenings (12.7 %) were "suspect". Out of this 81 suspect screening, only 47 screening have been checked, using 61 further investigations. No breast cancer metastasis was finally identified.Low rate of metastasis suggest reassessing metastasis screening before adjuvant chemotherapy for patients without lymph node involvement.CONCLUSIONLow rate of metastasis suggest reassessing metastasis screening before adjuvant chemotherapy for patients without lymph node involvement. |
| Author | Tredan, Olivier Faure, Christelle Chopin, Nicolas Carrabin, Nicolas Beurrier, Frédéric Ho Quoc, Christophe Thonnon, Cyrielle |
| Author_xml | – sequence: 1 givenname: Cyrielle surname: Thonnon fullname: Thonnon, Cyrielle email: thonnoncyrielle@yahoo.fr organization: Centre Léon-Bérard, département de chirurgie cancérologique-sein, 28, rue Laennec, 69373 Lyon cedex 08, France. Electronic address: thonnoncyrielle@yahoo.fr – sequence: 2 givenname: Christelle surname: Faure fullname: Faure, Christelle organization: Centre Léon-Bérard, département de chirurgie cancérologique-sein, 28, rue Laennec, 69373 Lyon cedex 08, France – sequence: 3 givenname: Nicolas surname: Chopin fullname: Chopin, Nicolas organization: Centre Léon-Bérard, département de chirurgie cancérologique-sein, 28, rue Laennec, 69373 Lyon cedex 08, France – sequence: 4 givenname: Frédéric surname: Beurrier fullname: Beurrier, Frédéric organization: Centre Léon-Bérard, département de chirurgie cancérologique-sein, 28, rue Laennec, 69373 Lyon cedex 08, France – sequence: 5 givenname: Christophe surname: Ho Quoc fullname: Ho Quoc, Christophe organization: Centre Léon-Bérard, département de chirurgie cancérologique-sein, 28, rue Laennec, 69373 Lyon cedex 08, France – sequence: 6 givenname: Olivier surname: Tredan fullname: Tredan, Olivier organization: Centre Léon-Bérard, département d'oncologie médicale, 28, rue Laennec, 69373 Lyon cedex 08, France – sequence: 7 givenname: Nicolas surname: Carrabin fullname: Carrabin, Nicolas organization: Centre Léon-Bérard, département de chirurgie cancérologique-sein, 28, rue Laennec, 69373 Lyon cedex 08, France |
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| Keywords | Bilan d’extension Medical research Métastase Bibliometrics Faux positif Cancer du sein Breast cancer Bibliographic database Chimiothérapie Non-envahissement ganglionnaire France |
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| Snippet | Systematic metastasis staging in early breast cancer is no longer recommended. However, it is still performed before adjuvant chemotherapy.
We assessed... Systematic metastasis staging in early breast cancer is no longer recommended. However, it is still performed before adjuvant... |
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| SubjectTerms | Adult Aged Aged, 80 and over Breast Neoplasms - drug therapy Breast Neoplasms - pathology Chemotherapy, Adjuvant Female Humans Lymph Nodes Lymphatic Metastasis Middle Aged Retrospective Studies |
| Title | Metastatic screening before adjuvant chemotherapy in breast cancer |
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