Article: Staging of the Axilla in Breast Cancer and the Evolving Role of Axillary Ultrasound.
Breast cancer (Dove Medical Press)
2021 Volume 13, Page(s) 311–323
Abstract: Axillary lymph nodes have long been recognized as a route for breast cancer to spread systemically. As a result, staging of the axilla has always played a central role in the treatment of breast cancer. Anatomic staging was believed to be important for ... ...
Abstract | Axillary lymph nodes have long been recognized as a route for breast cancer to spread systemically. As a result, staging of the axilla has always played a central role in the treatment of breast cancer. Anatomic staging was believed to be important for two reasons: 1) it predicts prognosis and guides medical therapy, and 2) it is a potential therapy for removal of disease in the axilla. This paradigm has now been called into question. Prognostic information is driven increasingly by tumor biology, and trials such as the ACOSOG Z0011 demonstrates removal of axillary disease is not therapeutic. Staging of the axilla has undergone a dramatic de-escalation; however, sentinel lymph node biopsy (SLNB) is still an invasive surgery and represents a large economic burden on the healthcare system. In this review, we outline the changing paradigms of axillary staging in breast cancer from emphasis on anatomic staging to tumor biology, and the evolving role of axillary ultrasound, bringing patients less invasive and more personalized therapy. |
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Language | English |
Publishing date | 2021-05-17 |
Publishing country | New Zealand |
Document type | Journal Article ; Review |
ZDB-ID | 2520722-2 |
ISSN | 1179-1314 |
ISSN | 1179-1314 |
DOI | 10.2147/BCTT.S273039 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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