Recommendation for axillary lymph node dissection in women with early breast cancer and sentinel node metastasis: A systematic review and meta-analysis of randomized controlled trials using the GRADE system
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- 作者：Tsai-Wei Huanga ; Ken N. Kuob ; Kee-Hsin Chenb ; c ; d ; e ; Chiehfeng Chenb ; f ; g ; Wen-Hsuan Houb ; h ; i ; Wei-Hwa Leej ; Tsu-Yi Chaok ; Jo-Ting Tsail ; m ; Chih-Ming Sun ; Ming-Te Huangn ; o ; Ka-Wai Tamb ; n ; o ; kelvintam@h.tmu.edu.tw" class="auth_mail" title="E-mail the corresponding author
- 关键词：Axillary lymph node dissection ; Breast cancer ; Clinical practice guideline ; GRADE ; Meta-analysis ; Recommendation ; Sentinel lymph node metastases
- 刊名：International Journal of Surgery
- 出版年：2016
- 出版时间：October 2016
- 年：2016
- 卷：34
- 期：Complete
- 页码：73-80
- 全文大小：809 K
文摘
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We evaluated the rationale of ASCO 2014 clinical practice guideline on ALND for early-stage breast cancer patients by using the GRADE system.
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We recommend non-ALND management for early breast cancer patients with SLN micrometastasis or macrometastasis.
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If the patient with SLN macrometastasis or treating surgeon is not comfortable with inadequacy of strong evidence, they may opt for ALND.
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