title: [Breast cancer and axillary area: state of the art and perspectives].
abstract: A therapeutic surgical de-escalation has been observed since many years with an actual prolongation for axillary lymph node area treatment. Axillary lymph node dissection (ALND) omission has been studied before and after validation of sentinel node (SN) biopsy procedure. A non-inferiority of ALND omission has been reported in case of non-involved SN. ALND omission has been studied in case of SN involvement without consensus in relation with scientific level of proof and with selective indications. The purpose of this work is to make a synthesis of the experiences on this subject then to envisage the current and future perspectives.
authors: Institut Paoli-Calmettes et CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.
authors: Gilles
authors: G
authors: Houvenaeghel
authors: Institut Paoli-Calmettes et CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.
authors: Monique
authors: M
authors: Cohen
authors: Institut Paoli-Calmettes et CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.
authors: Elisabeth
authors: E
authors: Chereau Ewald
authors: Institut Paoli-Calmettes et CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.
authors: Marie
authors: M
authors: Bannier
authors: Institut Paoli-Calmettes et CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.
authors: Max
authors: M
authors: Buttarelli
authors: Institut Paoli-Calmettes et CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.
authors: Camille
authors: C
authors: Jauffret
authors: Institut Paoli-Calmettes et CRCM, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.
authors: Eric
authors: E
authors: Lambaudie
mesh_terms: D001365:Axilla; D001943:Breast Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods* / Q000401:mortality / Q000639:trends; D008207:Lymphatic Metastasis; D061206:Neoplasm Micrometastasis / Q000628:therapy; D016032:Randomized Controlled Trials as Topic; D021701:Sentinel Lymph Node Biopsy / Q000379:methods / Q000401:mortality / Q000639:trends
keywords: axillary lymph node dissection; breast cancer; sentinel node