II. Stages

  1. Stage 1
    1. Tumor <=2 cm with no lymph node metastasis
  2. Stage 2
    1. Tumor >2 cm or positive lymph nodes
  3. Stage 3
    1. Locally advanced Breast Cancer (Skin or Chest wall)
  4. Stage 4
    1. Metastatic Breast Cancer (Lung, Liver, Bones, Brain)

III. Prognosis

  1. Stage 1:
    1. Five year survival: 90%
  2. Stage 2
    1. Five year survival: <60%
    2. Seven Year survival
      1. One to three nodes positive: 60%
      2. Over 3 nodes positive: 38%
  3. Reference:
    1. (1988) NIH Publication No. 88-2789
    2. Fisher (1983) Cancer 52:1551-7 [PubMed]

IV. Methods

  1. Sentinel Node Breast Biopsy
    1. Recommended even in favorable Breast Cancer subtypes
      1. Wong (2002) Am J Surg 184:492-8 [PubMed]
  2. Axillary Node dissection
    1. Conventional staging procedure
    2. Complications
      1. Numbness in axillae
      2. Hand and arm Lymphedema (may be severe)

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