Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/4725 |
Resumo: | OSNA is a molecular assay for the detection of sentinel node metastasis. TTL emerged as a concept that seems to accurately predict the status of the NSN. Authors tried to confirm this motion. This is a retrospective and multicentric study that analyzed 2164 patients, 579 of whom had positive SN and completion AD. Logistic regression models were performed in order to identify a suitable cutoff to identify patients who benefit from AD. Univariate and multivariate regression analysis showed a relationship between TTL>30000 and the presence of NSN metastasis (OR 2.84, CI 1.99-4.08, p < 0.001). Logistic regression indicated that the cutoff of 30000 copies/μL better discriminates patients with NSN positivity and allows wide use of these criteria. This cutoff value may safely assist clinicians and patients to decide to proceed or not with an AD. |
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Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle studyHCC CIRAdultAgedBreast Neoplasms / metabolismAged, 80 and overBreast Neoplasms / pathology*HumansFemaleBreast Neoplasms / surgeryMiddle AgedCarcinoma, Ductal, Breast / metabolismCarcinoma, Ductal, Breast / secondary*Carcinoma, Ductal, Breast / surgeryCarcinoma, Lobular / metabolismCarcinoma, Lobular / secondary*Carcinoma, Lobular / surgeryFollow-Up StudiesLymph Nodes / metabolismLymph Nodes / pathology*Lymph Nodes / surgeryLymphatic MetastasisPrognosisReceptor, ErbB-2 / metabolismReceptors, Estrogen / metabolismReceptors, Progesterone / metabolismYoung AdultSentinel Lymph Node Biopsy*Retrospective StudiesOSNA is a molecular assay for the detection of sentinel node metastasis. TTL emerged as a concept that seems to accurately predict the status of the NSN. Authors tried to confirm this motion. This is a retrospective and multicentric study that analyzed 2164 patients, 579 of whom had positive SN and completion AD. Logistic regression models were performed in order to identify a suitable cutoff to identify patients who benefit from AD. Univariate and multivariate regression analysis showed a relationship between TTL>30000 and the presence of NSN metastasis (OR 2.84, CI 1.99-4.08, p < 0.001). Logistic regression indicated that the cutoff of 30000 copies/μL better discriminates patients with NSN positivity and allows wide use of these criteria. This cutoff value may safely assist clinicians and patients to decide to proceed or not with an AD.ElsevierRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEFougo, JLAmendoeira, IBrito, MJCorreia, APGonçalves, AHonavar, MMachado, AMagalhães, AMarta, SNogueira, MPeleteiro, BPontes, P2023-11-02T15:24:58Z2020-032020-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/4725engSurg Oncol . 2020 Mar:32:108-114.10.1016/j.suronc.2019.11.008info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-05T06:33:11Zoai:repositorio.chlc.min-saude.pt:10400.17/4725Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:26:49.699177Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study |
title |
Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study |
spellingShingle |
Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study Fougo, JL HCC CIR Adult Aged Breast Neoplasms / metabolism Aged, 80 and over Breast Neoplasms / pathology* Humans Female Breast Neoplasms / surgery Middle Aged Carcinoma, Ductal, Breast / metabolism Carcinoma, Ductal, Breast / secondary* Carcinoma, Ductal, Breast / surgery Carcinoma, Lobular / metabolism Carcinoma, Lobular / secondary* Carcinoma, Lobular / surgery Follow-Up Studies Lymph Nodes / metabolism Lymph Nodes / pathology* Lymph Nodes / surgery Lymphatic Metastasis Prognosis Receptor, ErbB-2 / metabolism Receptors, Estrogen / metabolism Receptors, Progesterone / metabolism Young Adult Sentinel Lymph Node Biopsy* Retrospective Studies |
title_short |
Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study |
title_full |
Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study |
title_fullStr |
Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study |
title_full_unstemmed |
Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study |
title_sort |
Sentinel Node Total Tumour Load As a Predictive Factor for Non-Sentinel Node Status in Early Breast Cancer Patients – The porttle study |
author |
Fougo, JL |
author_facet |
Fougo, JL Amendoeira, I Brito, MJ Correia, AP Gonçalves, A Honavar, M Machado, A Magalhães, A Marta, S Nogueira, M Peleteiro, B Pontes, P |
author_role |
author |
author2 |
Amendoeira, I Brito, MJ Correia, AP Gonçalves, A Honavar, M Machado, A Magalhães, A Marta, S Nogueira, M Peleteiro, B Pontes, P |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Fougo, JL Amendoeira, I Brito, MJ Correia, AP Gonçalves, A Honavar, M Machado, A Magalhães, A Marta, S Nogueira, M Peleteiro, B Pontes, P |
dc.subject.por.fl_str_mv |
HCC CIR Adult Aged Breast Neoplasms / metabolism Aged, 80 and over Breast Neoplasms / pathology* Humans Female Breast Neoplasms / surgery Middle Aged Carcinoma, Ductal, Breast / metabolism Carcinoma, Ductal, Breast / secondary* Carcinoma, Ductal, Breast / surgery Carcinoma, Lobular / metabolism Carcinoma, Lobular / secondary* Carcinoma, Lobular / surgery Follow-Up Studies Lymph Nodes / metabolism Lymph Nodes / pathology* Lymph Nodes / surgery Lymphatic Metastasis Prognosis Receptor, ErbB-2 / metabolism Receptors, Estrogen / metabolism Receptors, Progesterone / metabolism Young Adult Sentinel Lymph Node Biopsy* Retrospective Studies |
topic |
HCC CIR Adult Aged Breast Neoplasms / metabolism Aged, 80 and over Breast Neoplasms / pathology* Humans Female Breast Neoplasms / surgery Middle Aged Carcinoma, Ductal, Breast / metabolism Carcinoma, Ductal, Breast / secondary* Carcinoma, Ductal, Breast / surgery Carcinoma, Lobular / metabolism Carcinoma, Lobular / secondary* Carcinoma, Lobular / surgery Follow-Up Studies Lymph Nodes / metabolism Lymph Nodes / pathology* Lymph Nodes / surgery Lymphatic Metastasis Prognosis Receptor, ErbB-2 / metabolism Receptors, Estrogen / metabolism Receptors, Progesterone / metabolism Young Adult Sentinel Lymph Node Biopsy* Retrospective Studies |
description |
OSNA is a molecular assay for the detection of sentinel node metastasis. TTL emerged as a concept that seems to accurately predict the status of the NSN. Authors tried to confirm this motion. This is a retrospective and multicentric study that analyzed 2164 patients, 579 of whom had positive SN and completion AD. Logistic regression models were performed in order to identify a suitable cutoff to identify patients who benefit from AD. Univariate and multivariate regression analysis showed a relationship between TTL>30000 and the presence of NSN metastasis (OR 2.84, CI 1.99-4.08, p < 0.001). Logistic regression indicated that the cutoff of 30000 copies/μL better discriminates patients with NSN positivity and allows wide use of these criteria. This cutoff value may safely assist clinicians and patients to decide to proceed or not with an AD. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-03 2020-03-01T00:00:00Z 2023-11-02T15:24:58Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/4725 |
url |
http://hdl.handle.net/10400.17/4725 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Surg Oncol . 2020 Mar:32:108-114. 10.1016/j.suronc.2019.11.008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134150201966592 |