Loren L. Rourke

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Complete axillary lymph node dissection (ALND) after a positive sentinel lymph node biopsy (SLNB) remains the standard practice. As nodal surgery has long been considered a staging procedure without a clear survival benefit, the need for ALND in all patients is debatable. The purpose of this study was to examine differences in survival for patients(More)
We sought to determine present-day locoregional recurrence (LRR) rates to better understand the role of postmastectomy radiotherapy (PMRT) in women with 0 to 3 positive lymph nodes. Clinical and pathologic factors were identified for 1019 patients with pT1 or pT2 tumors and 0 (n = 753), 1 (n = 176), 2 (n = 69), or 3 (n = 21) positive lymph nodes treated(More)
Lymphedema is a troublesome condition faced by many breast cancer survivors today. Since lymphedema represents a debilitating and progressive problem that is feared by most breast cancer patients and their providers, an up-to-date understanding is necessary in order to better diagnose, treat and manage these patients. The etiology of lymphedema is(More)
s submitted are eligible for awards. The George Peters Award recognizes the best presentation by a breast fellow and is awarded $1,000. The Scientific Presentation Award recognizes an outstanding presentation by a resident or fellow and is awarded $500. All presenters are eligible for the Scientific Impact Award. The recipient of the award is selected by(More)
An unusual penetrating chest injury was caused by a ball-point pen. Because of apparent penetration of the heart, preparations were made for an emergency open-heart procedure before emergency thoracotomy was undertaken, with the pen still in situ. The pen had bruised the epicardium but had not penetrated the pericardial sac. After removal of the pen, the(More)
The incidence of ductal carcinoma in situ (DCIS) has increased from a rare diagnosis in the 1970s to approximately 25% of all breast cancers in 2004. While this increased incidence has largely been attributed to widespread use of mammographic screening, the rates in the United States are consistently higher than those in other countries with established(More)
Metaplastic sarcomatoid carcinoma (MSC) of the breast is usually triple receptor (ER, PR, and HER2) negative and is not currently recognized as being more aggressive than other triple receptor-negative breast cancers. We reviewed archival tissue sections from surgical resection specimens of 47 patients with MSC of the breast and evaluated the association(More)
BACKGROUND Young age is an independent risk factor for local-regional recurrence after mastectomy in patients with T1/T2 tumors with zero or one to three positive lymph nodes. The authors evaluated the current incidence and management of local-regional recurrence after immediate breast reconstruction in patients with T1/T2 tumors and zero to three positive(More)
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