Axillary Management: How Much Is Too Much?

IF 4.7 2区 医学 Q1 ONCOLOGY Current Oncology Reports Pub Date : 2024-07-01 Epub Date: 2024-05-15 DOI:10.1007/s11912-024-01539-0
Nicci Owusu-Brackett, Benjin Facer, Dionisia Quiroga, Ashley Pariser, Michael Grimm, Sasha Beyer, Sachin Jhawar, Bridget A Oppong
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Abstract

Purpose of review: To review the current management of the axilla in breast cancer.

Recent findings: Axillary dissection is no longer indicated in patients with clinically node-negative axilla with 1-2 positive sentinel lymph nodes following upfront surgery or in patients with clinically node-negative axilla following neoadjuvant chemotherapy. Breast cancer has evolved away from routine axillary clearance to the less invasive sentinel lymph node biopsy to now complete omission of axillary sampling in select patients. We will review the most salient evidence that has shaped these practice changes over the last three decades. Current practice controversies are especially relevant for elderly populations and those receiving neoadjuvant therapy. Ongoing clinical trials will provide data to further guide breast cancer surgical management.

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腋窝管理:多少才算多?
综述目的回顾目前对乳腺癌患者腋窝的处理方法:腋窝清扫不再适用于前期手术后腋窝临床结节阴性但有1-2个阳性前哨淋巴结的患者,也不再适用于新辅助化疗后腋窝临床结节阴性的患者。乳腺癌已从常规的腋窝清扫发展到侵袭性较小的前哨淋巴结活检,再到现在对特定患者完全不进行腋窝取样。我们将回顾过去三十年来影响这些实践变化的最重要证据。目前的实践争议与老年人群和接受新辅助治疗的患者尤为相关。正在进行的临床试验将提供进一步指导乳腺癌手术治疗的数据。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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