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Breast Cancer Patients May be Spared Additional Surgery
Date:5/20/2009

ce to demonstrate there is no need for aggressive surgery if limited microscopic breast cancers are detected," said Dr. Winchester. "Treating cancer is as much about improving quality of life for our patients as it is about long-term survival."

We have relied upon that operation too much, and this paper points out we may not need to do it in terms of a survival difference or a regional recurrence difference, Winchester explained. This is an operation associated with significant morbidity. Among the morbidities linked to ALND are a lifetime risk of lymphedema, problematic cosmetic outcomes, longer recovery times and more postoperative pain than SLN biopsy alone.
The National Cancer Data Base, which is a joint program supported by the American College of Surgeons Commission on Cancer and the American Cancer Society, is recognized as the largest clinical registry in the world. It is a nationwide oncology outcomes database for more than 1,460 Commission on Cancer accredited cancer programs in the United States and Puerto Rico, and captures approximately 70 percent of all new invasive cancers diagnosed annually.

About NorthShore University HealthSystem
Headquartered in Evanston, Ill., NorthShore University HealthSystem (NorthShore) is a comprehensive, fully integrated, healthcare delivery system that serves the greater North Shore and northern Illinois communities. The system includes four Hospitals - Evanston Hospital, Glenbrook Hospital, Highland Park Hospital and Skokie Hospital. In addition, the health system has more than 2,400 affiliated physicians, including a 600-physician, multispecialty physician group practice with over 70 office locations - NorthShore University HealthSystem Medical Group. Further, NorthShore is committed to excellence in its academic mission and supports teaching and
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