دورية أكاديمية

Axillary Management: How Much Is Too Much?

التفاصيل البيبلوغرافية
العنوان: Axillary Management: How Much Is Too Much?
المؤلفون: Owusu-Brackett N; Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA., Facer B; Department of Radiation Oncology, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA., Quiroga D; Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA., Pariser A; Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA., Grimm M; West Virginia University School of Medicine, Morgantown, WV, USA., Beyer S; Department of Radiation Oncology, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA., Jhawar S; Department of Radiation Oncology, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA., Oppong BA; Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA. bridget.oppong@osumc.edu.
المصدر: Current oncology reports [Curr Oncol Rep] 2024 Jul; Vol. 26 (7), pp. 735-743. Date of Electronic Publication: 2024 May 15.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Current Science Country of Publication: United States NLM ID: 100888967 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1534-6269 (Electronic) Linking ISSN: 15233790 NLM ISO Abbreviation: Curr Oncol Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : Current Science, c1999-
مواضيع طبية MeSH: Axilla* , Breast Neoplasms*/pathology , Breast Neoplasms*/surgery , Breast Neoplasms*/drug therapy , Sentinel Lymph Node Biopsy* , Lymph Node Excision*, Humans ; Female ; Neoadjuvant Therapy ; Lymphatic Metastasis ; Lymph Nodes/pathology ; Lymph Nodes/surgery
مستخلص: 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.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Axilla; Breast Cancer; Neoadjuvant Systemic Therapy; Nodal Irradiation; Surgery
تواريخ الأحداث: Date Created: 20240515 Date Completed: 20240704 Latest Revision: 20240707
رمز التحديث: 20240707
مُعرف محوري في PubMed: PMC11224108
DOI: 10.1007/s11912-024-01539-0
PMID: 38748364
قاعدة البيانات: MEDLINE
الوصف
تدمد:1534-6269
DOI:10.1007/s11912-024-01539-0