Optimizing management of sentinel lymph node limited residual tumor after neoadjuvant therapy for breast cancer:Balancing of act
摘要IntroductionThe accuracy of sentinel lymph node biopsy(SLNB)after neoadjuvant therapy(NAT)has been confirmed in clinical nodal stage 1(cN1)patients,and more patients could benefit from axillary surgery de-escalation after NAT(1,2).The 2021 St.Gallen International Consensus Conference raised a question"For patients who presented with a clinically negative axilla,can axillary radiation therapy(RT)replace axillary lymph node dissection(ALND)in selected patients with residual disease in the sentinel nodes",and 38% of panelists supported RT replaced ALND in sentinel lymph node(SLN)-limited residual tumor after NAT(3).
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