Eur J Cancer. 2013 Jul;49(10):2277-83. doi: 10.1016/j.ejca.2013.01.034. Epub 2013 Mar 13.
The German, Austrian and Swiss (D.A.CH) Societies of Senology gathered together in 2012 to address dwelling questions regarding axillary clearance in breast cancer patients. The Consensus Panel consisted of 14 members of these societies and included surgical oncologists, gynaecologists, pathologists and radiotherapists. With regard to omitting axillary lymph node dissection in sentinel lymph node macrometastases, the Panel consensually accepted this option for low-risk patients only. A simple majority voted against extending radiotherapy to the axilla after omitting axillary dissection in N1 disease. Consensus was yielded for the use of axillary ultrasound and prospective registers for such patients in the course of follow-up. The questions regarding neoadjuvant therapy and the timing of sentinel lymph node biopsy failed to yield consensus, yet both options (before or after) are possible in clinically node-negative disease.
2012 年，德国、奥地利和瑞士（D.A.CH）乳腺外科学会聚集在一起，讨论乳腺癌患者腋窝清扫的相关问题。共识专家组由这三个学会的 14 名成员组成，包括外科肿瘤学家、妇科医生、病理学家和放射治疗师。对于前哨淋巴结宏转移患者省略腋窝淋巴结清扫，专家组一致同意仅对低危患者选择该方案。对于 N1 期疾病省略腋窝清扫后是否对腋窝进行放疗，多数人表示反对。专家组同意在后续治疗中对这些患者使用腋窝超声和前瞻性登记。对于新辅助治疗和前哨淋巴结活检时机的问题，专家组未达成共识，但在临床淋巴结阴性疾病中，这两种选择（先于或后于）都是可行的。
