EVALUATION OF AXILLARY LYMPH NODE METASTASES AND PREDICTIVE FACTORS IN STAGE I-IIIA BREAST CANCER PATIENTS AT K HOSPITAL
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Abstract
Objectives:The aim of this study was to evaluate axillary lymph node metastases and to predictors of axillary lymph node metastases in patients with stage I - IIIA breast cancer at K Hospital. Patients and methods:cross-sectional description of 296 stage I - IIIA breast cancer patients who have had mastectomy or breast conservation surgery with axillary lymphadenectomy at K hospital from January 2019 to April 2020. Results:The rate of axillary lymph node metastasis was 38.5%. Clinical evaluation of axillary lymph nodes has low sensitivity and specificity (57.9% và 74.7%). high false negativity (26.1%). Factors associated with nodal involvement in univariate analyses were tumor location. vascular and lymphovascular invasion; in multivariate analyses were tumor size and lymphovascular invasion. with p <0.05. Conclusion: The results of this study show that tumor location, tumor size, vascular invasion, and lymphatic vascular invasion are factors affecting axillary lymph node metastasis in patients with stage I – IIIA breast cancer.
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Keywords
Breast cancer, axillary lymph node, lymph node metastasis, stage I - III
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