Listen " Episode 11: Breast Surgery, Lightened: The Axillary De-Escalation Revolution."
Episode Synopsis
Send us a text🧠 Clinical Context:Historically, breast cancer treatment has included radical mastectomies and full axillary dissections.New data supports less invasive approaches for specific low-risk populations.🧪 The SOUND Trial (and similar studies):T1–T2 tumors (≤5 cm), clinically node-negative, ER+.Compared no axillary surgery vs sentinel lymph node biopsy.No difference in outcomes, but significantly less pain, lymphedema, and improved arm mobility in the non-surgical group.🧩 Clinical Takeaway:In selected ER+ patients with negative axillary imaging, sentinel lymph node biopsy may be safely omitted.Shifts the focus to preserving quality of life without compromising survival.The art of modern oncology = doing less, better.
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