Jozsa Felix, Ahmed Muneer
https://orcid.org/0000-0001-8960-6049.
https://orcid.org/0000-0002-4504-1354.
Ecancermedicalscience. 2020 Aug 18;14:1090. doi: 10.3332/ecancer.2020.1090. eCollection 2020.
It is recognised that surgical conservatism is the most effective way of managing the axilla in breast cancer patients undergoing primary breast conserving surgery. The extended clinical scenarios in which a less aggressive approach can be safely adopted warrant consideration-including a group of patients who potentially could bypass surgical staging of the axilla altogether. The application of omission of further surgical management and axillary radiotherapy in the primary surgical and neoadjuvant chemotherapy settings are considered.
人们认识到,手术保守治疗是对接受原发性保乳手术的乳腺癌患者腋窝进行处理的最有效方法。对于可以安全采用较不激进方法的扩展临床情况值得考虑,包括一组可能完全无需进行腋窝手术分期的患者。本文考虑了在原发性手术和新辅助化疗情况下省略进一步手术处理及腋窝放疗的应用。