Initial axillary surgery: results from the BreastSurgANZ Quality Audit

  title={Initial axillary surgery: results from the BreastSurgANZ Quality Audit},
  author={Chilton Chong and David Walters and Primali de Silva and Corey Taylor and Andrew J. Spillane and James Kollias and Chris Pyke and Ian D. Campbell and Guy John Maddern},
  journal={ANZ Journal of Surgery},
The aim of this study was to establish the preference and reasons for initial axillary surgery performed on women with invasive breast cancer in Australia and New Zealand using data from the Breast Surgeon's Society of Australia and New Zealand Quality Audit (BQA) according to whether sentinel lymph node (SLN) biopsy, axillary lymph node dissection (ALND) or no axillary surgery was used. 

Surgical and radiotherapy patterns of care in the management of breast cancer in NSW and ACT Australia

The surgical and radiotherapy patterns of breast cancer care in New South Wales (NSW) and Australian Capital Territory (ACT) in Australia are reported to identify factors that impact on utilisation of evidence‐based treatment and on the overall survival rate.

Triple-site radiotracer application in breast lymphoscintigraphy and sentinel node discordance

It is demonstrated that different LSG injection sites can result in the identification of different axillary sentinel nodes although this appears to be a rare event, and may be of clinical importance if the true SLN is sought.

Lymphedema in women undergoing breast cancer surgery

Obesity, sentinel lymph node biopsy, radiotherapy, and the presence of some treatment complications were statistically significant for the occurrence of lymphedema in women undergoing treatment for breast cancer.

Variations in outcomes by residential location for women with breast cancer: a systematic review

A general pattern of poorer survival and variations in clinical management for Australian female patients with breast cancer from non-metropolitan areas was evident, and the need to promote standardisation of geographical classifications and increased comparability of data systems was highlighted.

Surgical management of breast cancer in Victoria: A state-wide audit.

Victorian breast cancer data show a high quality of surgical care coordination, and significant gaps in the data warrant future improvements in the Victorian breast cancer notification system and access to pharmaceutical data for an enhanced understanding of the breast cancer treatment pathways and care delivery.



Patterns of Axillary Surgical Care for Breast Cancer in the Era of Sentinel Lymph Node Biopsy

BackgroundPopulation-based overall patterns of surgical management of the axilla in women with operable breast cancer during the era of adoption of sentinel lymph node biopsy (SLNB) were

Randomized multicenter trial of sentinel node biopsy versus standard axillary treatment in operable breast cancer: the ALMANAC Trial.

Sentinel lymph node biopsy is associated with reduced arm morbidity and better quality of life than standard axillary treatment and should be the treatment of choice for patients who have early-stage breast cancer with clinically negative nodes.

Randomized trial comparing axillary clearance versus no axillary clearance in older patients with breast cancer: first results of International Breast Cancer Study Group Trial 10-93.

Avoiding axillary clearance for women > or = 60 years old who have clinically node-negative disease and receive tamoxifen for endocrine-responsive disease yields similar efficacy with better early QL.

Patterns of Surgical Treatment for Women with Breast Cancer in Relation to Age

There was a close association between age and surgical treatment pattern after adjusting for other prognostic factors, including tumor size, histologic grade, number of tumors, lymph node positivity, lymphovascular invasion (LVI), and extensive intraduct component.

Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: a randomized clinical trial.

Among patients with limited SLN metastatic breast cancer treated with breast conservation and systemic therapy, the use of SLND alone compared with ALND did not result in inferior survival, and overall survival was the primary end point, with a noninferiority margin of a 1-sided hazard ratio of less than 1.3 indicating thatSLND alone is noninherited.

A randomized trial comparing axillary clearance versus no axillary clearance in older patients (≥ 60 years) with breast cancer: First results of International Breast Cancer Study Group Trial 10-93.

Avoiding axillary clearance for women ≥ 60 years old who have clinically N0 disease and receive Tam results in similar efficacy with improved QL, with the largest differences observed from baseline to post-operative, with patients randomized to Sx+Ax having worse QL and more side effects.

Sentinel-Lymph-Node-Based Management or Routine Axillary Clearance? One-Year Outcomes of Sentinel Node Biopsy Versus Axillary Clearance (SNAC): A Randomized Controlled Surgical Trial

SNBM was successfully undertaken in a wide range of surgical centers and caused significantly less morbidity than RAC, and SNB had sensitivity 94.5%, false-negative rate 5,5%, and negative predictive value 98%.

Accuracy of sentinel lymph node biopsy in large and multifocal/multicentric breast carcinoma--a systematic review.

  • A. SpillaneM. Brennan
  • Medicine
    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
  • 2011

Geographic Differences in Treatment of Early Stage Breast Cancer

Although consensus conferences and randomized clinical trials have indicated lumpectomy is appropriate therapy for the majority of women diagnosed with early stage breast cancer, large geographic differences in rates have persisted over time and were not explained by underlying differences in age or race distributions in the geographic areas included in this study.

Purpose and Use

In a broad sense, an engineer's construction cost estimate is a designer's prediction regarding the probable cost of a construction project. Traditionally, it has always been part of an engineer's