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Axillary Radiotherapy and SNL Surgery Show Comparable Outcomes

By MedImaging International staff writers
Posted on 31 Dec 2018

Patients with early-stage breast cancer had similar recurrence and survival rates for both axillary lymph node radiotherapy (RT) and dissection, according to a new study.

Researchers at the Netherlands Cancer Institute (NKI; Amsterdam), the European Organisation for Research and Treatment of Cancer (EORTC; Brussels, Belgium), and other institutions conducted a study in 4,806 patients with early-stage, clinically node-negative breast cancer, of whom 1,425 went on to have a positive sentinel lymph node (SLN) biopsy. Of these, 744 were randomly assigned to the axillary lymph node dissection group, and 681 to the axillary RT group. After 10 years, 1.82% of those assigned to axillary RT had axillary recurrence, compared with 0.93% of those assigned to dissection.

In addition, distant metastasis-free survival was 78.2% among those assigned to axillary RT and 81.7% among those assigned to axillary lymph node dissection; overall survival in the two arms was 81.4% percent and 84.6%, respectively. A significantly greater proportion of patients assigned to axillary RT went on to develop a second primary cancer (11%) than did patients assigned to axillary lymph node dissection (7.7%). The difference was mainly due to a higher incidence of contralateral breast cancer in the patients treated with axillary RT. The study was presented at the annual San Antonio Breast Cancer Symposium, held during December 2018 in San Antonio (TX, USA).

“Our new 10-year data show that axillary radiotherapy and axillary lymph node dissection provide excellent and comparable overall survival, distant-metastasis-free survival, and locoregional control,” said lead author and study presenter radiation oncologist Mila Donker, MD, PhD, of NKI. “We believe that axillary radiotherapy should be considered a good option for patients who have a positive sentinel lymph node biopsy, instead of complete surgical clearance of the axillary lymph nodes.”

“Traditionally, those patients who had cancer detected in a SLN biopsy underwent axillary lymph node dissection, which is an effective but invasive surgical procedure that is associated with adverse side effects such as lymphedema and difficulties moving the arm,” said senior author surgical oncologist Emiel Rutgers, MD, PhD. “There may be some patients who do not need axillary treatment, even if they have a positive SLN biopsy. Moving forward, we need to better tailor treatment for each individual patient. Some will still need axillary treatment, and our data indicate that axillary radiotherapy is a good option here.”

Finding metastatic cancer cells during breast cancer surgery requires first identifying the position of the SNLs, which have a diameter of just a few millimeters, and then excising them for hisotpathology. If the cancer has not yet metastasized to an SLN, axillary lymph node excision can be omitted, thus preventing subsequent lymphedema and maintaining the patient's quality of life after surgery.

Related Links:
Netherlands Cancer Institute
European Organisation for Research and Treatment of Cancer

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63 (!!!!! 1476.0494232178): SELECT fid FROM jos_deeppockets WHERE id=294776295 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294776295 AND published='1' LIMIT 1

64 (401.02005004883): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

65 (!!!!! 1250.0286102295): select jos_twitters.link from jos_twitters where cat=10

66 (54.836273193359): select jos_facebook.link from jos_facebook where cat=10

67 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

68 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

69 (37.908554077148): SELECT fid FROM jos_deeppockets WHERE id=294776295 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294776295 AND published='1' LIMIT 1

70 (33.140182495117): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

71 (769.13833618164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294776295 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (355.00526428223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294776295 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (49.114227294922): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

74 (89.168548583984): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (59.843063354492): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294776295 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294776295 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (33.140182495117): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

91 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 7718.8014984131): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

106 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

107 (63.180923461914): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294776295 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (550.0316619873): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294776295 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

110 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

111 (52.928924560547): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294776295 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (412.94097900391): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294776295 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (685.9302520752): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (397.92060852051): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (81.777572631836): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

116 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

117 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

118 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

119 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

120 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

121 (353.09791564941): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 47503.94821167): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

123 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

124 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

125 (442.0280456543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294776295 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294776295 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 1247853.0406952): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (107.0499420166): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (77.962875366211): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (47.206878662109): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

130 (51.975250244141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

132 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

134 (448.94218444824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (392.91381835938): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (174.99923706055): SELECT name FROM jos_deeppockets WHERE id=213

137 (108.00361633301): SELECT name FROM jos_deeppockets WHERE id=213

138 (483.03604125977): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (344.03800964355): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

141 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

142 (!!!!! 5825.9963989258): TRUNCATE TABLE jos_trademed_module

143 (!!!!! 1662.9695892334): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294776295 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (94.175338745117): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294776295 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (587.94021606445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

148 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

149 (!!!!! 1299.8580932617): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

150 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

151 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

152 (123.02398681641): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294776295 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294776295 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (46.968460083008): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

154 (36.954879760742): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

155 (54.121017456055): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (131.84547424316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

157 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776295 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776295 AND published='1' LIMIT 1

158 (61.988830566406): select jos_twitters.link from jos_twitters where cat=10

159 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

160 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

161 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

162 (391.96014404297): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 3810.8825683594): insert into jos_banners_delta values (14615,'2025-04-30 07:41:34','18.117.90.244','view'),(14202,'2025-04-30 07:41:34','18.117.90.244','view'),(14203,'2025-04-30 07:41:34','18.117.90.244','view')

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