Temporality and Patterns of Metastatic Recurrence in Node-Positive Breast Cancer Following Trimodality Therapy

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Rojine Ariani ◽  
Lindsay Hwang ◽  
Ana M. Maliglig ◽  
Omar Ragab ◽  
Jason C. Ye
Keyword(s):  
Breast Cancer ◽  
Trimodality Therapy ◽  
Metastatic Recurrence ◽  
Node Positive ◽  
Positive Breast Cancer

scholarly journals Fat-enlarged axillary lymph nodes are associated with node-positive breast cancer in obese patients

2021 ◽  
Author(s):  
Roberta M. diFlorio-Alexander ◽  
Qingyuan Song ◽  
Dennis Dwan ◽  
Judith A. Austin-Strohbehn ◽  
Kristen E. Muller ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymph Nodes ◽  
Invasive Breast Cancer ◽  
Breast Mri ◽  
Axillary Lymph Nodes ◽  
Axillary Lymph ◽  
Obese Women ◽  
Axillary Metastases ◽  
Node Positive ◽  
Positive Breast Cancer

Abstract Purpose Obesity associated fat infiltration of organ systems is accompanied by organ dysfunction and poor cancer outcomes. Obese women demonstrate variable degrees of fat infiltration of axillary lymph nodes (LNs), and they are at increased risk for node-positive breast cancer. However, the relationship between enlarged axillary nodes and axillary metastases has not been investigated. The purpose of this study is to evaluate the association between axillary metastases and fat-enlarged axillary nodes visualized on mammograms and breast MRI in obese women with a diagnosis of invasive breast cancer. Methods This retrospective case–control study included 431 patients with histologically confirmed invasive breast cancer. The primary analysis of this study included 306 patients with pre-treatment and pre-operative breast MRI and body mass index (BMI) > 30 (201 node-positive cases and 105 randomly selected node-negative controls) diagnosed with invasive breast cancer between April 1, 2011, and March 1, 2020. The largest visible LN was measured in the axilla contralateral to the known breast cancer on breast MRI. Multivariate logistic regression models were used to assess the association between node-positive status and LN size adjusting for age, BMI, tumor size, tumor grade, tumor subtype, and lymphovascular invasion. Results A strong likelihood of node-positive breast cancer was observed among obese women with fat-expanded lymph nodes (adjusted OR for the 4th vs. 1st quartile for contralateral LN size on MRI: 9.70; 95% CI 4.26, 23.50; p < 0.001). The receiver operating characteristic curve for size of fat-enlarged nodes in the contralateral axilla identified on breast MRI had an area under the curve of 0.72 for predicting axillary metastasis, and this increased to 0.77 when combined with patient and tumor characteristics. Conclusion Fat expansion of axillary lymph nodes was associated with a high likelihood of axillary metastases in obese women with invasive breast cancer independent of BMI and tumor characteristics.

Axillary Reverse Mapping: A Prospective Study in Women with Clinically Node Negative and Node Positive Breast Cancer

2013 ◽  
Vol 20 (10) ◽  
pp. 3303-3307 ◽  
Author(s):  
Carol Connor ◽  
Marilee McGinness ◽  
Joshua Mammen ◽  
Lori Ranallo ◽  
Stephanie LaFaver ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Prospective Study ◽  
Node Negative ◽  
Axillary Reverse Mapping ◽  
Node Positive ◽  
A Prospective Study ◽  
Reverse Mapping ◽  
Positive Breast Cancer
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