Omitting Sentinel Lymph Node Biopsy in Early-Stage Breast Cancer Patients

被引：0

作者：

Thompson, Danielle ^{[1
,2
]}

Yao, Katharine ^{[1
,3
]}

机构：

[1] NorthShore Univ Hlth Syst, Dept Surg, Evanston, IL 60201 USA

[2] Univ Chicago, Dept Surg, Chicago, IL USA

[3] Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA

来源：

CURRENT BREAST CANCER REPORTS | 2024年 / 16卷 / 03期

关键词：

Breast cancer; Sentinel lymph node biopsy; Axillary lymph node biopsy; Omission; De-escalation; STANDARD AXILLARY TREATMENT; CARCINOMA IN-SITU; RADICAL-MASTECTOMY; ELDERLY-WOMEN; DISSECTION; TRIAL; OLDER; MULTICENTER; IRRADIATION; PROTOCOL;

D O I：

10.1007/s12609-024-00557-y

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose of ReviewTo describe current research regarding omission of sentinel lymph node biopsy (SLNB) in breast cancer patients.Recent FindingsResults from a recent clinical trial, the SOUND trial, with results pending from trials such as NAUTILUS, INSEMA and BOOG 2013-08, suggest that the omission of SLNB in patients with T1-2 N0 invasive breast cancer is oncologically safe and has noninferior 5-year distant disease-free survival compared to those who underwent SLNB +/- ALND. Best practice guidelines do recommend omitting SLNB for older patients with estrogen receptor invasive breast cancers and for most patients undergoing surgery for ductal carcinoma in situ.SummaryAxillary surgery continues to evolve over time to less surgery in the axilla for patients with both invasive and noninvasive disease. Changes in adjuvant therapy, increased use of genomic testing and axillary US have all impacted this trend.

引用

页码：302 / 310

页数：9

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