Publication details
Operace mízních uzlin u karcinomů prsu - současný pohled.
| Title in English | Lymphatic node surgery in breast carcinoma therapy, Current view. |
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| Authors | |
| Year of publication | 2012 |
| Type | Article in Periodical |
| Magazine / Source | Postgraduální medicína |
| MU Faculty or unit | |
| Citation | |
| Field | Oncology and hematology |
| Keywords | breast carcinoma; sentinel node biopsy; axillar dissection |
| Description | Surgery of associated lymphatic nodes is an inseparable part of breast carcinoma therapy. Their removal can be considered curative if they are significantly affected by metastases. In other cases, the surgery is meaningful mostly in terms of determining the disease's extent and choosing an adjuvant therapy. Non-selective dissection of the axilla performed in all patients without any distinction can no longer be accepted, because this procedure carries a high risk of both short-term and long-term complications. Biopsy of the sentinel node has become a clear first choice among this type of procedures. Possible contraindifocuscourses of action in cases of unsuccessful identification and the importance of extra-axillar locations are however also being discussed. New data shows that not even in the case of the sentinel node being affected by a tumour, axillar dissection is necessarily desirable in all patients. A gradual decrease in how radical the surgical solutions are can be observed, it does not seem however that the local surgical intervention would be poised to lose its important place in breast carcinoma therapy. The role of surgical procedures to the lymphatic nodes remains crucial and their correct indication requires increasing amounts of experience and theoretical knowledge. |