Manejo conservador de la axila en cáncer de mama operable
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https://doi.org/10.31053/1853.0605.v62.n2.27898Palavras-chave:
.Resumo
El tratamiento del cáncer de mama (CM), tumor mas frecuente en la mujer, sufrió diferentes modificaciones a lo largo de los dos últimos siglos. Se describe una reseña de las mismas, como así también los cambios en el manejo de la terapéutica axilar. Durante el siglo pasado, se trabajó fundamentalmente en las opciones terapéuticas para la conservación de la glándula mamaria. Recién en las ultimas décadas comienza el planteo de conductas dirigidas al manejo conservador de la axila, sobre todo para minimizar los efectos adversos secundarios a la linfadcnectomía axilar completa. La técnica del Ganglio Centinela cobra importancia ya que los canceres de mama cada vez con mayor frecuencia, son diagnosticados en estadios iniciales, por lo que las probabilidades de tener ganglios axilares negativos son cada vez mayores. Concluimos que la información que brinda el conocimiento del estado de los ganglios axilares es muy importante en la toma de decisiones terapéuticas en pacientes con cáncer de mama, y que la técnica del ganglio centinela podría, en algunos casos, ser un test que predice el status ganglionar axilar, sin necesidad de realizar una linfadenectomía axilar clásica.
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Loza J. Y col: Encuentro Nacional sobre Ganglio Centinela Córdoba Ag. 2001, Instituto Especializado Alexander Fleming Bs. As.
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