Evidence map›Paper›PMID 41742963›Full record

ReviewThe breast journal2026

Axillary Recurrence After a Negative Sentinel Lymph Node Biopsy (SLNB) for Initial Positive Node Breast Cancer Postneoadjuvant Therapy: Insights From a Systematic Review and Meta-Analysis.

Maha A Alghamdi, Hemali Deshpande, Walid M Abd El Maksoud, Fahad S Al Amri, Mohammed A Bawahab, Khaled S Abbas, Abdullah Dalboh, Hassan A Alzahrani, Marei H Alshandeer, Ahmad Jebril M Bosaily and 2 more

Abstract readReview
In one paragraph

Review in The breast journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Maha A AlghamdiDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0003-1306-9616
Hemali DeshpandeDepartment of Anatomy, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0001-6739-4014
Walid M Abd El MaksoudDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0002-2861-6611
Fahad S Al AmriDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0001-6706-7646
Mohammed A BawahabDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0002-9124-3766
Khaled S AbbasDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0002-0447-9915
Abdullah DalbohDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0002-8964-0455
Hassan A AlzahraniDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0003-0712-1959
Marei H AlshandeerDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0001-9764-3333
Ahmad Jebril M BosailyDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0009-0002-5108-4921
Haytham M FayedDepartment of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0001-9971-2320
Ibrahim A AlghamdiCollege of Medicine, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0009-0000-8029-7526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite the use of sentinel lymph node biopsy (SLNB) to stage the axilla in clinically node-negative breast cancer patients' postneoadjuvant therapy, the incidence and clinical significance of axillary recurrence (AR) after a negative SLNB remain under-explored in the literature. Understanding these factors is essential to improving patient outcomes and guiding future treatment strategies. Methods: We conducted a systematic review and meta-analysis using PubMed, Scopus, ScienceDirect, and Google Scholar. A random effects model was used to calculate pooled incidence of AR, while heterogeneity was assessed using the I Results: A total of 37 studies were included in the qualitative synthesis and meta-analysis. The pooled analysis of these studies highlights a remarkably low incidence of AR, with an overall proportion of 1% (95% CI: [0.0%, 1.0%]) under a random-effects model and no significant heterogeneity ( Conclusion: The meta-analysis demonstrated a remarkably low incidence of AR after a negative SLNB in initially node-positive breast cancer patients postneoadjuvant therapy. These findings suggest that such recurrences are rare, supporting the reliability of SLNB in accurately staging the axilla. This highlights its importance in clinical decision-making for treatment strategies.

Indexed as

axillary recurrencemeta-analysispostneoadjuvant therapysentinel node biopsy

Identifiers

PMID41742963
PMCPMC12930003

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.