Axilla lymph node dissection can be safely omitted in patients with 1–2 positive sentinel nodes receiving mastectomy: a large multi-institutional study and a systemic meta-analysis

Author:

Gao Weiqi,Lu Shuangshuang,Zeng Yufei,Chen XiaosongORCID,Shen Kunwei

Funder

National Natural Science Foundation of China

Shanghai Municipal Education Commission - Gaofeng Clinical Medicine Grant Support

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine - “Guangci Excellent Youth Training Program”

Publisher

Springer Science and Business Media LLC

Subject

Cancer Research,Oncology

Reference29 articles.

1. Burstein HJ, Curigliano G, Loibl S, Dubsky P, Gnant M, Poortmans P, Colleoni M, Denkert C, Piccart-Gebhart M, Regan M, Senn HJ, Winer EP, Thurlimann B (2019) Estimating the benefits of therapy for early-stage breast cancer: the St. Gallen international consensus guidelines for the primary therapy of early breast cancer 2019. Ann Oncol 30:1541–1557. https://doi.org/10.1093/annonc/mdz235

2. Giuliano AE, Hunt KK, Ballman KV, Beitsch PD, Whitworth PW, Blumencranz PW, Leitch AM, Saha S, McCall LM, Morrow M (2011) Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: a randomized clinical trial. JAMA 305:569–575. https://doi.org/10.1001/jama.2011.90

3. Dengel LT, Van Zee KJ, King TA, Stempel M, Cody HS, El-Tamer M, Gemignani ML, Sclafani LM, Sacchini VS, Heerdt AS, Plitas G, Junqueira M, Capko D, Patil S, Morrow M (2014) Axillary dissection can be avoided in the majority of clinically node-negative patients undergoing breast-conserving therapy. Ann Surg Oncol 21:22–27. https://doi.org/10.1245/s10434-013-3200-6

4. Gao W, Zeng Y, Fei X, Chen X, Shen K (2020) Axillary lymph node and non-sentinel lymph node metastasis among the ACOSOG Z0011 eligible breast cancer patients with invasive ductal, invasive lobular, or other histological special types: a multi-institutional retrospective analysis. Breast Cancer Res Treat 184:193–202. https://doi.org/10.1007/s10549-020-05842-9

5. Yi M, Giordano SH, Meric-Bernstam F, Mittendorf EA, Kuerer HM, Hwang RF, Bedrosian I, Rourke L, Hunt KK (2010) Trends in and outcomes from sentinel lymph node biopsy (SLNB) alone vs. SLNB with axillary lymph node dissection for node-positive breast cancer patients: experience from the SEER database. Ann Surg Oncol. https://doi.org/10.1245/s10434-010-1253-3

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