Division of Breast Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA; Breast Oncology Program, Dana-Farber Brigham Cancer Center, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA; Harvard Medical School, Boston, MA, USA.
Division of Breast Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA; Breast Oncology Program, Dana-Farber Brigham Cancer Center, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA; Harvard Medical School, Boston, MA, USA.
Hematol Oncol Clin North Am. 2023 Feb;37(1):51-77. doi: 10.1016/j.hoc.2022.08.005.
This review discusses the contemporary surgical management of the axilla in patients with breast cancer. Surgical paradigms are highlighted by clinical nodal status at presentation and treatment approach, including upfront surgery and neoadjuvant systemic therapy settings. This review focuses on the increasing opportunities for de-escalating the extent of axillary surgery in the era of sentinel lymph node biopsy, while also reviewing the remaining indications for axillary clearance with axillary lymph node dissection.
这篇综述讨论了乳腺癌患者腋窝的当代外科处理。手术范例突出了临床淋巴结状况和治疗方法，包括术前手术和新辅助全身治疗。这篇综述侧重于在前哨淋巴结活检时代减少腋窝手术范围的机会，同时还回顾了腋窝淋巴结清扫术的残留适应证。
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