Influence of subclavian lymph node dissection on the prognosis of breast cancer patients with positive axillary lymph nodes
YUAN Zhi-yong
SHI feng
MA hui
Abstract：Objective To investigate the influence of subclavian lymph node dissection on the prognosis of breast cancer patients with positive axillary lymph nodes .Methods Totally 158 breast cancer patients with positive axillary lymph nodes were divided into two groups:group A ( subclavian lymph nodes were not dissected ) and group B ( subclavian lymph nodes were dissected ) .The clinic pathological features of the two groups were compared .Kaplan-Meier method and Cox proportional hazard method were respectively used to make univariate and multivariate survival analysis for disease -free sur-vival ( DFS) .Results Univariate and multivariate survival analysis showed that tumor size , lymph nodes metastasis rate , the level of HER-2 expression and the dissection of subclavian lymph nodes were factors that influenced DFS ( all P<0.05).Conclusion Subclavian lymph node dissection in breast cancer patients with positive axillary lymph node is rec -ommended for patients whose tumor size is more than 5cm, the lymph node metastasis rate is more than 0.4 and the level of HER-2 expression is high .
Keywords：breast neoplasmssubclavian lymph nodesdisease-free survivalprognosis
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 25-27 )