Abstract：
BACKGROUND:The ability to predict the behaviour of breast cancer from its dimensions allows the clinician to inform a woman about the absolute benefits of adjuvant therapies or further surgery to control her disease. Tumour size and grade are independent predictors of nodal disease. This study aims to generate a tool, using Australian data, allowing surgeons to calculate the probability of axillary lymph node involvement in a preoperative setting. METHODS:The histological reports of patients with breast cancer treated in 1995 in New South Wales were examined and tumour size, grade and nodal status recorded. Univariate and multivariate analyses identified predictors of node positivity and, using linear regression analysis, a simple formula to predict nodal involvement was derived. RESULTS:In a 6-month period, 754 women had non-metastatic, unifocal breast cancer treated with surgery and complete axillary dissection and 283 (37.5%) had positive nodes. Tumour size remained an independent predictor of node positivity and the probability (%), y, of nodal involvement may be predicted by the formula y = 1.5 x tumour size (mm) + 7, r = 0.939 and P = 0.001. CONCLUSIONS:This paper shows the need to assess the axilla in every patient because even patients with small tumours (0-5 mm) have the possibility of axillary involvement (7-14.5%). Use of this simple formula allows clinicians and patients to make informed decisions about the possible need for a full axillary dissection to reduce the chance of understaging and potentially undertreating a woman's breast cancer.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Laura S,Coombs NJ,Ung O,Boyages Jdoi
10.1111/j.1445-2197.2006.03918.xsubject
Has Abstractpub_date
2006-11-01 00:00:00pages
1002-6issue
11eissn
1445-1433issn
1445-2197pii
ANS3918journal_volume
76pub_type
杂志文章abstract：BACKGROUND:Various treatment measures have been described in achieving splenic preservation following splenic injury. We describe an additional measure in achieving haemostasis during mesh splenorrhaphy. METHODS:Oxycel (BD, Franklin Lakes, NJ, USA) (topical haemostatic agent composed of oxidized cellulose) is sutured ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2004.03065.x
更新日期：2004-07-01 00:00:00
abstract：BACKGROUND:Rural and regional Australia presents a unique challenge in the delivery of surgical services by virtue of its geographical vastness and low population density. While up to 33% of Australians live in rural or regional areas, only 14.8% of surgeons work in a rural or regional area. Data regarding the caseload...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14680
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:While recent studies have shown patients with developmental dysplasia of the hip (DDH) undergoing total hip arthroplasty (THA) to achieve comparable post-operative outcomes to patients with primary osteoarthritis (OA), it is unclear whether DDH patients display better or worse preoperative function than the ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2012.06198.x
更新日期：2013-07-01 00:00:00
abstract：:Patients on haemodialysis are susceptible for central vein occlusions, which can result in debilitating clinical consequences. These may be resistant to conventional revascularization with guidewire and catheter technique. Value-driven sharp recanalization of central vein occlusion is depicted as a safe and affordable...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15599
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:The advantages of promoting evidence-based care through implementation of clinical guidelines are well established. Clinical practice guidelines have been developed for lower urinary tract symptoms (LUTS) and prostate cancer screening. Aspects of the delivery of care by urologists or specialist registrars re...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1440-1622.2001.02111.x
更新日期：2001-05-01 00:00:00
abstract：:In the early years of the introduction of Christianity into China, one American medical missionary distinguished himself by his kindness and generosity towards the Chinese people, and also by his surgical prowess. Peter Parker (1804-1888) was a graduate from the Yale University Medical School and was also an ordained ...
journal_title：ANZ journal of surgery
pub_type： 传,历史文章,杂志文章
doi：10.1111/ans.12402
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Pain is a personal, subjective experience. In the postoperative period, pain may be influenced by patient, pharmacological and environmental factors. In surgery the aim is to reduce pain in this period by educating patients and using adequate analgesia. The aim of the present study was to assess the effect o...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1046/j.1445-1433.2003.02576.x
更新日期：2003-04-01 00:00:00
abstract：BACKGROUND:Sore throat is not an uncommon complaint following general anaesthesia (GA) with endotracheal intubation. It has been a source of considerable discomfort particularly in those patients who had thyroid surgery. Driven by the increased number of patients with post-intubation sore throat following thyroid surge...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-1433.2001.02230.x
更新日期：2001-11-01 00:00:00
abstract：:Anal abscesses and fistulas are a common part of surgical practice. Most abscesses simply need to be drained and most fistulas can be safely laid open. Excessive probing should not be attempted when draining abscesses as this may lead to iatrogenic fistulas. A small percentage of fistulas are complex and very challeng...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2005.03280.x
更新日期：2005-01-01 00:00:00
abstract：BACKGROUND:Many haemodialysis patients are unable to have or maintain distal upper limb arteriovenous (AV) fistulas because of inadequate veins or arteries and therefore require more proximal access. We have reviewed our experience with a two-stage brachiobasilic AV haemodialysis fistula fashioned in the arm. METHODS:...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03996.x
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:Pseudocysts are a common consequence of acute pancreatitis and require intervention if symptomatic. Endoscopic management is emerging as a safe and effective alternative to surgery, although its use is not yet widespread. METHODS:We describe our experience of 10 consecutive unselected patients who underwent...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12648
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:To examine any geographical variation in the management of urolithiasis amongst the Australian states and territories. METHODS:Retrospective study with data obtained from the Medicare Australia database, the Royal Australasian College of Surgeons and the Urological Society of Australia and New Zealand. RES...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13646
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Urgent assessment of haematuria is critical to exclude malignancy. The objective of this study is to report the outcomes of the first 3 years of a dedicated haematuria clinic at the Royal Melbourne Hospital, a Victorian tertiary hospital. METHODS:All patients assessed in the haematuria clinic from April 201...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12742
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Assessment of vocal cord mobility using Macintosh laryngoscope is frequently performed after extubation following thyroid surgery to rule out laryngeal nerve palsy. This study compared patient comfort and assessment accuracy of post-operative vocal fold mobility with Macintosh laryngoscope and fibreoptic end...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05441.x
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:Laparoscopic common bile duct exploration (LCBDE) is increasingly being used to treat choledocholithiasis. However, few studies have examined the treatment of recurrent common bile duct stones (CBDS) in patients with a history of prior biliary surgery. The current research aimed to compare the outcomes of la...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16529
更新日期：2020-12-28 00:00:00
abstract：:Granulomatous appendicitis can be idiopathic or due to a number of specific causes. Idiopathic granulomatous appendicitis is regarded as a separate disease entity and usually has a benign course. We report on a case of granulomatous appendicitis, which progressed to fulminant Crohn's colitis shortly after appendicecto...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1046/j.1445-1433.2003.02663.x
更新日期：2003-07-01 00:00:00
abstract：:Clinically, solitary thyroid nodules are common, being present in up to 50% of the elderly population. The majority are benign with thyroid cancer representing an uncommon clinical problem. Investigation should include careful history and examination and thyroid function tests. Toxic or autonomous nodules are rarely m...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2006.03727.x
更新日期：2006-05-01 00:00:00
abstract：:In his position as curator of the Cowlishaw collection of historical medical books in the Library of the College, Kenneth Russell prepared the definitive catalogue of the collection. This catalogue is comprehensive and for almost all entries there is an annotation that demonstrates his meticulous attention to detail a...
journal_title：ANZ journal of surgery
pub_type： 传,历史文章
doi：10.1046/j.1445-1433.2003.02645.x
更新日期：2003-07-01 00:00:00
abstract：BACKGROUND:The outcomes of large-sized graft mismatch in deceased donor liver transplantation (LT) have been rarely studied. The aim of this study was to determine whether a large-sized graft for recipient influenced the post-transplant outcomes. METHODS:A total of 273 patients undergoing LT were enrolled and divided ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16132
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:The purpose of this study is to determine the safety of a one-incision technique for distal biceps repair with modified repair entry point in regards to the distance from the posterior interosseous nerve (PIN). Secondly, we present the clinical results of patients having undergone this procedure. METHODS:Te...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13684
更新日期：2017-05-01 00:00:00
abstract：BACKGROUND:Thyroid nodules are common and the principal method of diagnosis is fine-needle aspiration cytology (FNAC). METHODS:To determine the value of FNAC in the diagnosis of thyroid nodules, thyroid cytology of 253 patients with definitive histology after surgery was analyzed from 1992 to 2002. FNAC was correlated...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-1433.2003.02670.x
更新日期：2003-07-01 00:00:00
abstract：BACKGROUND:Improved life-expectancies have seen increased rates of older patients undergoing surgery worldwide. These patients are at increased risk of post-operative complications. Australian evidence is limited regarding the association between age and post-operative outcomes, especially rapid response calls (RRCs) a...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14433
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Recent analyses of the surgical literature have suggested a general trend towards increasing numbers of published articles and an improved quality of evidence produced. The aim of this bibliometric analysis was to identify trends in the publication of general surgical research in New Zealand from 1996 to 201...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.13821
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Mastectomy for breast cancer treatment and prophylaxis has improved survival for patients. The advantage of implant reconstruction post mastectomy is that it avoids an additional donor site with its associated morbidity, which post-mastectomy autologous reconstruction necessitates. However, the deficiency of...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2012.06313.x
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Parkland formula (PF) is the most often used schema for calculating intravenous resuscitation fluid requirement in burn patients. Some studies have reported that PF underestimates the fluid requirement in 45-63% of patients. The aim of this retrospective study was to analyse factors influencing first-day int...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2007.04221.x
更新日期：2007-09-01 00:00:00
abstract：BACKGROUND:Acute Appendicitis is the most common surgical presentation within Australia. Despite the increasing use of radiological investigations to aid clinical diagnosis, many appendectomies result in a histologically normal appendix. This study examines the histological negative appendicectomy rate (NAR) in a metro...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16203
更新日期：2020-08-17 00:00:00
abstract：BACKGROUND:Although patterns of return of bowel function (ROBF) following colorectal surgery with enhanced recovery after surgery (ERAS) programmes have been well delineated, regular morphine use is uncommon. This study describes the patterns of post-operative nausea and vomiting (PONV) and ROBF in this context. METHO...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13290
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Advances in surgical techniques and anaesthetic practise have facilitated a significant change in the way surgery is currently delivered. In particular, short stay surgery including ambulatory surgery has become the norm for the majority of surgical conditions. However, the planning of surgical services has ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2011.05955.x
更新日期：2012-01-01 00:00:00
abstract：:This paper examines the career of Johann Sebastian Bach (1685-1750) and the role played by Wilhelm His I (who was, with Albert von Haller, a noted pioneer of physiology) in the exhumation of Bach's remains in 1894. His's examination of these remains allowed the sculptor Carl Seffner to produce the celebrated statue of...
journal_title：ANZ journal of surgery
pub_type： 传,历史文章,杂志文章
doi：10.1111/ans.12398
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:Recent trials on rectal cancer have demonstrated significant improvements in local recurrence without improvements in overall survival. The aim of this paper was to define the influence of local recurrence on survival in a prospective series of patients who underwent R0 or R1 resections for rectal cancer. M...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1111/ans.12214
更新日期：2014-01-01 00:00:00
