Current Management of the Axilla

McCartan, Damian; Gemignani, Mary L.

doi:10.1097/grf.0000000000000232

Cited by 5 publications

(1 citation statement)

References 25 publications

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“…The flowchart of searching strategy and study selection is shown in Table 1. Forty‐seven articles were strongly in favour of performing SLNB in PrBC, 2,4,6,13–56 4 articles were partially in favour, 57–60 2 articles were partially against 61,62 and 10 articles were strongly against SLNB in PrBC patients 3,5,10,63–69 . Sub‐analysis based on type of study showed that out of 47 articles which were strongly in favour of SLNB, 11 were prospective cohorts or RCTs, 5 were retrospective case series or case reports, 25 were review articles and 6 articles were guidelines.…”

Section: Resultsmentioning

confidence: 99%

Sentinel lymph node biopsy for breast cancer during pregnancy: A comprehensive update

Bothou,

Margioula‐Siarkou,

Petousis

et al. 2023

Eur J Clin Investigation

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BackgroundPregnant patients diagnosed with breast cancer (PrBC) may receive substantially different treatments compared to general population, considering that certain treatment options cannot be applied during pregnancy due to their potential harmful effects to the foetus. Regarding the use of sentinel lymph node biopsy (SLNB) in pregnant patients, potential concerns include foetal harm from radiation exposure, possible teratogenic effects of blue dyes and maternal anaphylaxis to isosulfan.ObjectiveThe main objective of the present systematic review is to summarize and present current knowledge and up‐to‐date evidence about the safety and efficacy of SLNB in PABC.MethodsMEDLINE, Google Scholar and UpToDate databases were searched up to 22 January 2023. Articles studying the safety and effectiveness of SLNB in patients for PrBC were eligible for inclusion in the present review.ResultsIn total, 63 articles that met the inclusion criteria were included in this study. Forty‐seven articles were strongly in favour of performing SLNB in PABC, 4 articles were partially in favour, 10 articles were strongly against and 2 articles were partially against performing SLNB in PABC. Sub‐categorization based on type of study showed that the majority of studies in favour were of higher level of evidence than those against. Furthermore, there were overall 12 studies reporting on outcomes. There were overall 382 women with PrBC that underwent SLNB. Full data were reported for 237 cases. Overall live birth rate was 95.8%, while overall neonatal complication rate was 3.4%.No case of maternal side effects or anaphylactic reaction, maternal death, stillbirth and neonatal death was reported (0%).ConclusionsSentinel lymph node biopsy seems to be safe and effective technique for breast cancer during pregnancy.

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Section: Resultsmentioning

confidence: 99%

Sentinel lymph node biopsy for breast cancer during pregnancy: A comprehensive update

Bothou,

Margioula‐Siarkou,

Petousis

et al. 2023

Eur J Clin Investigation

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Management of the Axilla in Early Breast Cancer

Valero

Golshan

2018

Optimizing Breast Cancer Management

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Management of the axilla in early breast cancer patients has significantly evolved in the last several decades. With the arrival of the sentinel lymph node biopsy, surgical practice for axillary staging in patients with early breast cancer has become gradually less invasive and formal axillary lymph node dissection has been confined to selected patients. Over the last two decades, evidence from randomized clinical trials have allowed for the de-escalation of axillary surgery in the management of early stage breast cancer. Advances in the staging and treatment of the axilla constitute a key component in determining initial surgical planning and therapeutic strategies in the treatment of early breast cancer. This chapter provides an updated review on the history, evolution, and current practices for axillary management in patients with early breast cancer, with particular attention to the surgical recommendations and controversial scenarios of the evolving management of the axilla.

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Mammakarzinom in der Schwangerschaft

Seitz

Sohn

et al. 2018

Onkologe

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Current Management of the Axilla

Cited by 5 publications

References 25 publications

Sentinel lymph node biopsy for breast cancer during pregnancy: A comprehensive update

Sentinel lymph node biopsy for breast cancer during pregnancy: A comprehensive update

Management of the Axilla in Early Breast Cancer

Mammakarzinom in der Schwangerschaft

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