Axillary lymph node dissection: Dead or still alive?

被引：14

作者：

Beck, Anna C. ^{[1
]}

Morrow, Monica ^{[1
,2
]}

机构：

[1] Mem Sloan Kettering Canc Ctr, Dept Surg, Breast Serv, 300 East 66th St, New York, NY 10065 USA

[2] Mem Sloan Kettering Canc Ctr, Breast Serv, Dept Surg, 300 E 66th St, New York, NY 10065 USA

来源：

BREAST | 2023年 / 69卷

关键词：

Limit 6); axillary lymph node dissection; de-escalation; axillary surgery; sentinel lymph node biopsy; systemic therapy; POSITIVE BREAST-CANCER; COMPARING RADICAL-MASTECTOMY; SURGICAL ADJUVANT BREAST; NEOADJUVANT CHEMOTHERAPY; SENTINEL-NODE; PREOPERATIVE CHEMOTHERAPY; NEGATIVE PATIENTS; PHASE-III; FOLLOW-UP; BIOPSY;

D O I：

10.1016/j.breast.2023.01.009

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Although sentinel lymph node biopsy is now the primary method of axillary staging and is therapeutic for pa-tients with limited nodal disease, axillary lymph node dissection (ALND) is still necessary for staging in groups where sentinel lymph node biopsy has not been proven to be accurate and to maintain local control in those with a heavy axillary tumor burden. Additionally, newer approaches to systemic therapy tailored to risk level sometimes necessitate knowledge of the number of involved axillary nodes which can only be obtained with ALND. Ongoing trials will address whether there are additional circumstances where radiotherapy can replace ALND.

引用

页码：469 / 475

页数：7

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