title: German, Austrian and Swiss consensus conference on the diagnosis and local treatment of the axilla in breast cancer.
abstract: The German, Austrian and Swiss (D.A.CH) Societies of Senology gathered together in 2012 to address dwelling questions regarding axillary clearance in breast cancer patients. The Consensus Panel consisted of 14 members of these societies and included surgical oncologists, gynaecologists, pathologists and radiotherapists. With regard to omitting axillary lymph node dissection in sentinel lymph node macrometastases, the Panel consensually accepted this option for low-risk patients only. A simple majority voted against extending radiotherapy to the axilla after omitting axillary dissection in N1 disease. Consensus was yielded for the use of axillary ultrasound and prospective registers for such patients in the course of follow-up. The questions regarding neoadjuvant therapy and the timing of sentinel lymph node biopsy failed to yield consensus, yet both options (before or after) are possible in clinically node-negative disease.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Hoffmann
authors.forename: Rainer
authors.initials: R
authors.lastname: Souchon
authors.forename: Annette
authors.initials: A
authors.lastname: Lebeau
authors.forename: Christian
authors.initials: C
authors.lastname: Öhlschlegel
authors.forename: Günther
authors.initials: G
authors.lastname: Gruber
authors.forename: Christoph
authors.initials: C
authors.lastname: Rageth
authors.forename: Walter
authors.initials: W
authors.lastname: Weber
authors.forename: Nadia
authors.initials: N
authors.lastname: Harbeck
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Janni
authors.forename: Hans
authors.initials: H
authors.lastname: Kreipe
authors.forename: Florian
authors.initials: F
authors.lastname: Fitzal
authors.forename: Alexandra
authors.initials: A
authors.lastname: Resch
authors.forename: Zsuzsanna
authors.initials: Z
authors.lastname: Bago-Horvath
authors.forename: Florentia
authors.initials: F
authors.lastname: Peintinger
mesh_terms: D001317:Austria; D001365:Axilla / Q000473:pathology / Q000601:surgery*; D001943:Breast Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery*; D005260:Female; D005858:Germany; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000175:diagnosis*; D020360:Neoadjuvant Therapy / Q000379:methods; D021701:Sentinel Lymph Node Biopsy; D013557:Switzerland