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Updated: Oct 18, 2025

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Omitting axillary dissection: could we offer a more tailored management to elderly patients with breast cancer?
Andrés Vargas1,2, Katarzyna Holub3, Albert Biete4
1Radiation Oncology Department, Instituto de Radiomedicina (IRAM), Avenida Américo Vespucio 1314, Vitacura, 7630000, Santiago de Chile, Chile. andres.vargas@iram.cl.
Abstract:
We retrospectively reviewed the data from patients ≥ 70 years old treated between January 2012 and January 2017. Axillary staging was scarcely used in the therapeutic algorithm but arm lymphedema was significantly associated to axillar dissection (p=0.04) and regional nodal irradiation (p = 0.02). Aggressive management of axilla did not provide relevant information for deciding chemotherapy but added morbidity.
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