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The low axillary node contributed the most useful prognostic information. The involved apical node carried the worst prognosis. Either the internal mammary node or a low axillary node when positive alone carried the same prognostic weight. When both nodes were positive the prognosis declined to the level associated with apical node positivity. A double node biopsy of the low axillary node and either the apical or the internal mammary node gave the same maximum prognostic information as a triple node biopsy. The triple node biopsy technique can be used to divide patients into groups with vastly different prognoses.<\/jats:p>","DOI":"10.1002\/bjs.1800770216","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:47:10Z","timestamp":1172929630000},"page":"163-167","source":"Crossref","is-referenced-by-count":26,"title":["Evaluation of the prognostic value of triple node biopsy in early breast cancer"],"prefix":"10.1093","volume":"77","author":[{"given":"R S","family":"du Toit","sequence":"first","affiliation":[{"name":"Department of Surgery, City Hospital , Nottingham NG5 1PB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A P","family":"Locker","sequence":"additional","affiliation":[{"name":"Department of Surgery, City Hospital , Nottingham NG5 1PB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I O","family":"Elis","sequence":"additional","affiliation":[{"name":"Department of Histopathology, City Hospital , Nottingham NG5 1PB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C W","family":"Elston","sequence":"additional","affiliation":[{"name":"Department of Histopathology, City Hospital , Nottingham NG5 1PB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R W","family":"Blarney","sequence":"additional","affiliation":[{"name":"Department of Surgery, City Hospital , Nottingham NG5 1PB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,2,1]]},"reference":[{"key":"2024092808021422300_bib1","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/BF01556839","article-title":"The curability of breast cancer","volume":"1","author":"Brinkley","year":"1977","journal-title":"World J Surg"},{"key":"2024092808021422300_bib2","first-page":"1311","article-title":"Factors influencing short and long term survival of breast cancer patients","volume":"122","author":"Berg","year":"1966","journal-title":"Surg Gynecol Obstet"},{"key":"2024092808021422300_bib3","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1016\/S0140-6736(82)92337-6","article-title":"The inadequacy of axillary sampling in breast cancer","volume":"i","author":"Kissin","year":"1982","journal-title":"Lancet"},{"key":"2024092808021422300_bib4","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1002\/bjs.1800720512","article-title":"The efficacy of lower axillary sampling in obtaining lymph node status in breast cancer: a controlled randomized trial","volume":"78","author":"Steele","year":"1985","journal-title":"Br J Surg"},{"key":"2024092808021422300_bib5","first-page":"765","article-title":"The accuracy of clinical nodal staging and of limited axillary dissection as a determinant of histologic nodal status in carcinoma of the breast","volume":"152","author":"Fisher","year":"1981","journal-title":"Surg Gynecol Obstet"},{"key":"2024092808021422300_bib6","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1038\/bjc.1982.62","article-title":"A prognostic index in primary breast cancer","volume":"45","author":"Haybittle","year":"1982","journal-title":"Br J Cancer"},{"key":"2024092808021422300_bib7","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1038\/bjc.1987.230","article-title":"Conformation of a prognostic index in primary breast cancer","volume":"56","author":"Todd","year":"1987","journal-title":"Br J Cancer"},{"key":"2024092808021422300_bib8","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1002\/1097-0142(1955)8:4<776::AID-CNCR2820080421>3.0.CO;2-B","article-title":"The significance of axillary node levels in the study of breast carcinoma","volume":"8","author":"Berg","year":"1955","journal-title":"Cancer"},{"key":"2024092808021422300_bib9","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1136\/bmj.1.4853.61","article-title":"Invasion of the internal mammary lymph nodes in carcinoma of the breast","volume":"1","author":"Handley","year":"1954","journal-title":"Br Med J"},{"key":"2024092808021422300_bib10","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1002\/bjs.1800510310","article-title":"Symposium on early carcinoma of the breast - 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