ArticleAnnals of surgical oncology2026
Axillary Management after Neoadjuvant Endocrine Therapy (NET).
Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
backgroundIn patients with hormone receptor-positive (HR PATIENTS AND
methodsWe performed a retrospective review of patients with clinical stage I-III, HR
resultsA total of 230 patients were included; 120 (52.2%) were clinically node-negative (cN0), while 110 (47.8%) were clinically node-positive (cN+). In the cN+ group, 7.3% (8/110) had a nodal pathologic complete response (pCR). In total, 76.4% (84/110) in the cN+ group underwent axillary lymph node dissection (ALND) as the initial axillary procedure, and 90.9% (100/110) underwent ALND overall. In total, 98.3% (118/120) with cN0 disease underwent sentinel lymph node dissection (SLND), and 28 (23.7%) had positive nodes. A total of 64.3% (18/28) of cN0 patients with a positive SLN underwent ALND. There were four local-regional recurrences (LRR) in the entire cohort, yielding a 5-year LRR rate of 2.2%, and it did not differ between cN0 and cN+ (2.0% versus 2.2%, p >0.05). The distant recurrence rate was higher in cN+ compared with the cN0 group (15.0% versus 6.9%, p = 0.03). The 5-year overall survival (OS) was 79.5% for the entire cohort and was higher for cN0 compared with cN+ patients (88.4% versus 69.7%, p = 0.004).
conclusionsThe 5-year LRR rate was extremely low for the entire cohort, suggesting that NET is an oncologically safe strategy for patients with HR
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