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Palpation of the axillary nodes in breast cancer: What does the surgeon feel?

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Summary

The findings on routine pre-operative palpation of the axilla in patients with infiltrative breast carcinoma are compared to the results of histological quantitation of the nodal lymphoid tissue and its tumour deposits in 91 consecutive cases in which a standardized axillary dissection had been carried out. The study demonstrates that lymphoid tissue, even when present in large amounts (up to 6 cm2 on histology), is seldom palpable. What the clinician identifies in favourable cases is the tumour deposit itself. When little lymphoid tissue is present very small tumour deposits (0.2cm2) may be found on palpation, but large deposits (1 cm2) may be missed when surrounded by sufficient lymphoid tissue. These findings go far to explain the well documented unreliability of the nodal findings on axillary palpation in breast cancer.

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References

  1. Høie J, Jørgensen OG, Brennhovd IO: Axillære lymfeknuter og cancer mammae. Tidskr Nor Lægefor 13: 617–618, 1977

    Google Scholar 

  2. Fisher B, Wolmark N, Bauer M, Redmond C, Gebhardt M: The accuracy of clinical nodal staging and of limited axillary dissection as a determinant of histologic nodal status in carcinoma of the breast. Surg Gynec Obstet 152: 765–772, 1981

    PubMed  Google Scholar 

  3. Black RB, Steele RJC, Collins WCJ, Forrest APM: Site, size and significance of palpable metastatic and ‘reactive’ nodes in operable breast cancer. Clin Oncol 8: 127–135, 1982

    PubMed  Google Scholar 

  4. Black RB, Steele RJC, Collins WCJ, Roberts MM, Stewart HJ, Forrest APM: The effect of node sample size on the histological node status in patients with operable breast cancer. Clin Oncol 8: 137–143, 1982

    PubMed  Google Scholar 

  5. International Union against Cancer. TNM classification of malignant tumours: Breast. Geneva, 1978

  6. Hartveit F: The routine histological investigation of axillary lymph nodes for metastatic breast cancer. J Pathol 143: 187–191, 1984

    PubMed  Google Scholar 

  7. Hartveit F, Mæhle BO, Tangen M, Halvorsen JF: On the progressive nature of tumour growth in the axillary nodes in breast cancer. Oncology 40: 309–314, 1983

    PubMed  Google Scholar 

  8. Hartveit F, Tangen M, Halvorsen JF: The axillary nodes and tumour size in breast cancer. Breast Cancer Res Treat 2: 105–109, 1982

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pathology, Gade Institute, N-5016 Haukeland Hospital, Bergen, Norway

    F. Hartveit

  2. Department of Surgery, University of Bergen, Bergen, Norway

    J. E. Varhaug

  3. Deaconess Hospital, Bergen, Norway

    A. Skarstein

Authors
  1. F. Hartveit
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  2. A. Skarstein
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  3. J. E. Varhaug
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Hartveit, F., Skarstein, A. & Varhaug, J.E. Palpation of the axillary nodes in breast cancer: What does the surgeon feel?. Breast Cancer Res Tr 11, 71–75 (1988). https://doi.org/10.1007/BF01807561

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  • DOI: https://doi.org/10.1007/BF01807561

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