Advances in axillary surgery for breast cancer 2019

J Surg Oncol. 2020 Jan;121(1):20-24. doi: 10.1002/jso.25591. Epub 2019 Jun 25.

Abstract

Over the last 25 years, modifications in systemic and radiation therapy for breast cancer have led to significant reductions in the risk of regional recurrence. During the same time, surgeons have demonstrated that it is safe to forego axillary dissections for patients with low burdens of axillary lymph node disease. When these advances are added to those by reconstructive microsurgeons, the promise of reducing morbidity rates from posttreatment lymphedema seems within our grasp.

Keywords: axillary radiation; axillary reverse mapping; lymphedema; neoadjuvant therapy; sentinel lymph node.

Publication types

  • Review

MeSH terms

  • Axilla
  • Breast Neoplasms / pathology
  • Breast Neoplasms / radiotherapy
  • Breast Neoplasms / surgery*
  • Female
  • Humans
  • Lymph Node Excision / methods
  • Lymph Node Excision / standards
  • Lymph Nodes / pathology
  • Lymph Nodes / radiation effects
  • Lymph Nodes / surgery*
  • Lymphatic Metastasis
  • Neoplasm Recurrence, Local / prevention & control
  • Randomized Controlled Trials as Topic