Evidence map›Paper›PMID 41815550›Full record

ReviewFrontiers in oncology2026

De-escalating breast and axillary surgery in breast cancer: evidence, controversies, and future directions.

Baha Sharaf, Ala' Seif, Fadi Alawneh, Hira Bani Hani, Marwa Sh Abrahim, Sharif Jehad, Mohamed Abdallah, Suleiman Mahafdah

Abstract readReview
In one paragraph

Review in Frontiers in oncology, 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

8 authors.

Baha SharafDepartment of Medicine, King Hussein Cancer Center, Amman, Jordan.
Ala' SeifDepartment of Surgery, King Hussein Cancer Center, Amman, Jordan.
Fadi AlawnehDepartment of Surgery, King Hussein Cancer Center, Amman, Jordan.
Hira Bani HaniDepartment of Medicine, King Hussein Cancer Center, Amman, Jordan.
Marwa Sh AbrahimDepartment of Medicine, King Hussein Cancer Center, Amman, Jordan.
Sharif JehadSchool of Medicine, Yarmouk University, Irbid, Jordan.
Mohamed AbdallahDepartment of Medicine, King Hussein Cancer Center, Amman, Jordan.
Suleiman MahafdahDepartment of Surgery, Jordanian Royal Medical Services, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The surgical management of breast cancer has achieved considerable improvement, shifting from radical resections toward increasingly conservative approaches driven by the advances in systemic therapy, precision imaging, and tumor biology. De-escalation strategies reducing the extent of surgery in the breast and axilla, aiming to minimize treatment-related morbidity (e.g., lymphedema, chronic pain, impaired mobility), while maintaining oncologic safety. This review synthesizes evidence from over 20 landmark trials, critically examines current clinical guidelines, and explores emerging technologies (e.g., artificial intelligence, liquid biopsy) that may further refine patient selection. We also highlight global disparities in adopting de-escalation strategies and discuss unanswered questions, such as applicability in high-risk subtypes and long-term recurrence risks.

Indexed as

axillary managementbreast cancerdeescalationmastectomyoncology surgery

Identifiers

PMID41815550
PMCPMC12971474

What OpenQuestion holds

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Registered trials

None linked

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.