Evidence map›Paper›PMID 41909394›Full record

ArticleCureus2026

Predictors of Positive Axillary Node Clearance Following Positive Sentinel Node Biopsy: A Retrospective Analysis.

Joseph Latham, Humayun Razzaq, Gary Osborn, Asmaa Al-Allak

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Joseph LathamUrology, Royal Glamorgan Hospital, Cardiff, GBR.
Humayun RazzaqBreast Surgery, Royal Glamorgan Hospital, Cardiff, GBR.
Gary OsbornBreast Surgery, Royal Glamorgan Hospital, Cardiff, GBR.
Asmaa Al-AllakBreast Surgery, Royal Glamorgan Hospital, Cardiff, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Axillary management in breast cancer is increasingly de-escalated. This study assessed whether sentinel node biopsy (SNB) histological features predict further axillary disease. Methods A retrospective single-centre study was performed of patients with primary breast cancer who underwent axillary node clearance (ANC) following a positive SNB. Sentinel node deposit size and extracapsular spread were analysed using t-tests and chi-square testing. Logistic regression with receiver operating characteristic analysis was used to evaluate deposit size as a predictor of positive ANC. Results Forty-two patients were included, of whom 23 (55%) had further nodal metastases. Larger SN deposits were associated with positive ANC (p=0.020). Logistic regression identified deposits <3 mm as predictive of no further axillary disease. Extracapsular spread was also significant (p=0.042). Conclusions These findings support selective axillary de-escalation, although validation in larger prospective studies is required.

Indexed as

axillary node clearancebreast cancerbreast cancer metastasisrisk predictorssentinel lymph node (sln)

Identifiers

PMID41909394
PMCPMC13032915

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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.