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Related Concept Videos

Assessing Body Temperature - Axilla01:14

Assessing Body Temperature - Axilla

Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...

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Is axillary dissection needed in node-positive breast cancer?

Caprice C Greenberg1, Andrea C Bafford, Mehra Golshan

  • 1Department of Surgery, Brigham & Women's Hospital & Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. ccgreenberg@partners.org

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Sentinel lymph node biopsy (SLNB) now replaces axillary lymph node dissection (ALND) for early breast cancer. Research questions whether completion ALND is still necessary after a positive SLNB, exploring options to avoid it.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Breast Cancer Management

Background:

  • Traditionally, axillary lymph node dissection (ALND) was standard for breast cancer axillary staging.
  • Sentinel lymph node biopsy (SLNB) has largely replaced ALND for clinically node-negative patients since the mid-1990s.

Purpose of the Study:

  • To review current literature on the role of completion ALND after a positive SLNB.
  • To identify patient subgroups who may potentially avoid completion ALND.

Main Methods:

  • Literature review of studies comparing outcomes of SLNB with and without completion ALND.
  • Analysis of factors influencing the decision for completion ALND in positive SLNB cases.

Main Results:

  • The necessity of completion ALND following a positive SLNB is increasingly questioned.
  • Evidence suggests certain patient subgroups may not benefit from completion ALND.

Conclusions:

  • Further research is needed to refine criteria for selecting patients who can safely avoid completion ALND.
  • Optimizing axillary staging in breast cancer aims to reduce morbidity while maintaining oncologic control.