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Letters 6. Hind D, Wyld L, Beverley CB, Reed MW. Surgery versus primary endocrine Our patient population was largely positive for ER, but only therapy for operable primary breast cancer in elderly women (70 years plus). 40% received hormonal therapy. Despite this, only 4% of pa- Cochrane Database Syst Rev. 2006;(1):CD004272. tients experienced a breast cancer–related event. Not performing a sentinel node biopsy may avoid poten- tial morbidity and should be reevaluated for patients 70 years of age or older with clinically negative nodes. Patients were un- COMMENT & RESPONSE likely to have treatment recommendations changed based on Selective vs Nonselective Nonsteroidal a sentinel node biopsy, and adjuvant therapy was less likely Anti-inflammatory Drugs and Anastomotic Leakage to be administered, regardless of nodal status. Patients in this After Colorectal Surgery subgroup were more likely to die of causes other than breast To the Editor We read with interest the article by Hakkarainen cancer, and not performing a sentinel node biopsy did not affect survival. et al and wish to commend the authors on their attempt to shed light on the challenging question of nonsteroidal anti- inflammatory drugs (NSAIDs) and the risk for anastomotic leak- Alice Chung, MD age after
JAMA Surgery – American Medical Association
Published: Jul 1, 2015
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