Authors: D. Vrána 1,2; J. Gatěk 3,4; K. Cwiertka 1; V. Šrámek 1 Authors‘ workplace: Onkologická klinika LF UP a FN Olomouc2 Oddělení toxikogenomiky, Centrum toxikologie a zdravotní bezpečnosti, Státní zdravotní ústav, Praha 3 Chirurgické oddělení, Nemocnice Atlas, Zlín4 Fakulta humanitních studií, Univerzita T. Bati ve Zlíně 1 Published in: Klin Onkol 2014; 27(2): 143-145 Category: Short Communication
For a long period of time, axillary dissection represented a standard approach for axillary node management in the case of sentinel node biopsy positivity during early stage breast cancer treatment. In recent years, there has been a trend to highlight the morbidity of such an axillary procedure considering long‑term survival of early stage breast cancer patients. Two big trials, AMAROS and Z0011, were initiated to answer the question whether axillary dissection should be performed in the case of positivity of axillary sentinel node considering the fact that more than 70% of these patients will have no metastasis found during the axillary dissection and such a procedure only increases the morbidity of the surgery. Considering the results of the above mentioned trials, axillary dissection may be avoided in the case of fulfilling of inclusion criteria of these trials without any impact on the patient survival. IBCSG 23 – 01 study brought similar conclusion in the case of micrometastasis in axillary sentinel node.
Key words: axillary dissection – breast cancer – radiotherapy – breast-conserving surgery
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