AXILLARY NODAL STATUS AND ITS IMPACT ON SURVIVAL FOLLOWING RADICAL MASTECTOMY
HALDUN DÖŞLÜOĞLU1, A ÖZDEMİR AKTAN1, CUMHUR YEĞEN1, ŞÜKRÜ BOZKURT2, RIFAT YALIN1, HÜSNÜ A GÖKSEL3
1Marmara Üniversitesi Tıp Fakültesi, Genel Cerrahi A.B.D. /İSTANBUL
2Gazi Üniversitesi Tıp Fakültesi, Genel Cerrahi A.B.D./ANKARA
3Türkiye Organ Nakli ve Yanık Tedavi Vakfı Hastahanesi/ANKARA
Axillary nodal status and its impact on survival were reviewed retrospectively in 294 patients with carcinoma of the breast who underwent radical mastectomy. The mean follow up was 130 months (range, 61-366 months). The average number of nodes dissected was found to be 24.5, which tended to decrease with age.
The central group contained 48.1% of the total number of nodes, and 70.2% of the metastatic nodes. The apical group contained 14.9% of the nodes and 8.3% of the metastatic nodes. There was no isolated apical or interpectoral node metastasis.
In relation to localization, tumors under the areola carried the best prognosis, and medially located tumors had the worst (p<0.05). The total number of nodes in the axilla had no effect on survival, but the metastatic nodes directly affected survival (p<0.05). The degree of involvement of the node by tumor also had no effect on survival. The pathological staging was found to be more important in determining the prognosis.