Management of the clinically node-negative Axilla: What Have we learned from the clinical trials? Journal Article


Authors: Pilewskie, M. L.; Morrow, M.
Article Title: Management of the clinically node-negative Axilla: What Have we learned from the clinical trials?
Abstract: Sentinel lymph node biopsy (SLNB) has revolutionized the surgical management of the axilla for patients with early breast cancer. SLNB initially became standard regional therapy for women who were both clinically and pathologically node-negative. Subsequently, SLNB has been established as appropriate management in patients with very low axillary tumor burden, defined as isolated tumor cells or micrometastatic disease (< 2 mm); it provides accurate staging information with no detriment to regional control. More recently, the treatment of the axilla has evolved for women with macrometastatic axillary disease. Three randomized controlled trials have compared different regional treatment strategies for patients with > 2 mm of axillary tumor burden. Here we review the evolution of SLNB for the management of clinically node-negative breast cancer, and we address the current controversies and management issues.
Journal Title: Oncology (Norwalk)
Volume: 28
Issue: 5
ISSN: 0890-9091
Publisher: C M P Medica LLC * The Oncology Group  
Date Published: 2014-05-01
Start Page: 371
End Page: 378
Language: English
PROVIDER: scopus
PUBMED: 25004648
DOI/URL:
Notes: ONCOLOGY -- Export Date: 2 June 2014 -- CODEN: OCLGE -- Source: Scopus
Citation Impact
MSK Authors
  1. Monica Morrow
    775 Morrow
  2. Melissa Louise Pilewskie
    112 Pilewskie