Implementation of the Targeted Axillary Dissection Procedure in Clinically Node-Positive Breast Cancer: A Retrospective Analysis.
Joni J NijveldtKiran K RajanKarina BoersmaEva M NoordaJose van der Starre-GaalMiranda van 't Veer-Ten KateEllen M A RoeloffzenBrian N VendelMaarten A BeekAnne Brecht FranckenPublished in: Annals of surgical oncology (2024)
Introduction of the TAD procedure has resulted in a reduction of 84% of previously indicated ALNDs. Moreover, 18% of cases did not receive adjuvant axillary radiotherapy. These data show that implementation of de-escalation axillary treatment with the TAD procedure appeared to be successful.
Keyphrases
- lymph node
- sentinel lymph node
- positive breast cancer
- early stage
- neoadjuvant chemotherapy
- minimally invasive
- ultrasound guided
- primary care
- healthcare
- locally advanced
- quality improvement
- radiation therapy
- electronic health record
- open label
- radiation induced
- clinical trial
- squamous cell carcinoma
- randomized controlled trial
- cancer therapy
- machine learning
- replacement therapy
- double blind