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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
Radiologic Mapping for Targeted Axillary Dissection: Needle Biopsy to Excision
Kyungmin Shin1, Abigail S Caudle2, Henry M Kuerer2
11 Department of Diagnostic Radiology, Breast Imaging, The University of Texas MD Anderson Cancer Center, CPB5.3200, Unit 1350, 1515 Holcombe Blvd, Houston, TX 77030.
Objective:
The purpose of this article is to describe the feasibility and safety of a multidisciplinary approach to imaging-guided axillary staging that facilitates personalized, less invasive surgical management of the axilla through targeted axillary dissection in patients with biopsy-proven nodal metastasis undergoing neoadjuvant chemotherapy.
Conclusion:
Axillary nodal status, critical in breast cancer staging, affects prognosis and treatment. As the paradigm shifts toward minimally invasive therapy, a clip marker is placed in the biopsied metastatic node for patients with N1-N2 disease undergoing neoadjuvant chemotherapy to facilitate targeted axillary dissection of the clipped node. This node is typically localized with a radioactive seed at sentinel lymph node dissection to determine whether further axillary surgery is warranted.
