Abstract

VALADARES, Sara Lince et al. Axillary lymph node dissection: still a necessary procedure?. Acta Obstet Ginecol Port [online]. 2016, vol.10, n.3, pp.230-239. ISSN 1646-5830.

Sentinel lymph node biopsy (SLNB) is the gold standard procedure for breast cancer staging and axillary lymph node dissection (AD) is recommended when metastasis are found. Two recent practice-changing studies altered this paradigm. They brought into discussion old unanswered questions, such as the impact of AD on morbidity, survival and choice of adjuvant therapy as well as new questions, like the role of radiotherapy and the omission of AD after positive SLNB. The authors reviewed the literature focusing on these issues and concluded that AD after positive SLNB can be omitted in selected cases.

Keywords : Breast neoplasm; Lymph node excision; Sentinel node; Axilla.

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