作者: Riccardo Ponzone , Furio Maggiorotto , Luca Mariani , Maria Elena Jacomuzzi , Alessandra Magistris
DOI: 10.1016/J.AMJSURG.2006.09.031
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摘要: Abstract Background It is debated whether all patients with a positive sentinel node dissection (SLND) should be submitted to axillary lymph (ALND). Models have been developed estimate the likelihood of nonsentinel (non-SLN) metastases. Methods The accuracy Memorial Sloan-Kettering Cancer Center (MSKCC) nomogram and MD Anderson scoring system for prediction non-SLN status was tested in consecutive series 186 SLN-positive breast cancer patients. A multivariate analysis performed assess which parameters independently predicted presence Results predictive MSKCC measured by receiver operating characteristic curve 0.71, it best Conclusions can help individualize surgical treatment when further involvement low or risks are higher.