title: SINODAR ONE, an ongoing randomized clinical trial to assess the role of axillary surgery in breast cancer patients with one or two macrometastatic sentinel nodes.
abstract: Sentinel lymph node biopsy alone is the current surgical axillary treatment for early-stage breast cancer patients with a negative sentinel lymph node (SLN). The possibility to omit axillary dissection also in presence of positive SLNs has been promoted by the American College of Surgeons Oncology Group (ASOCOG) Z0011 randomized trial. Several limitations and evidences of potential selection bias made this trial fairly controversial. Stronger evidence than currently available is needed on the safety of foregoing axillary dissection in well-defined populations of patients with positive SLNs. The Italian multicentre SINODAR ONE randomized trial here presented was designed with this aim.
authors.affiliation: Breast Unit, Cancer Center, IRCCS Clinical Institute Humanitas, Rozzano, MI, Italy.
authors.forename: Corrado
authors.initials: C
authors.lastname: Tinterri
authors.affiliation: Breast Unit, Cancer Center, IRCCS Clinical Institute Humanitas, Rozzano, MI, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Canavese
authors.affiliation: Clinical Epidemiology, IRCCS AOU San Martino-IST, Genoa, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Bruzzi
authors.affiliation: Clinical Epidemiology, IRCCS AOU San Martino-IST, Genoa, Italy. Electronic address: beatrice.dozin@hsanmartino.it.
authors.forename: Beatrice
authors.initials: B
authors.lastname: Dozin
mesh_terms: D000328:Adult; D000368:Aged; D001365:Axilla; D001943:Breast Neoplasms / Q000473:pathology / Q000628:therapy*; D002277:Carcinoma / Q000473:pathology / Q000628:therapy*; D005260:Female; D006801:Humans; D007558:Italy; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008408:Mastectomy / Q000379:methods; D015412:Mastectomy, Segmental / Q000379:methods; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant / Q000379:methods; D000071036:Sentinel Lymph Node / Q000473:pathology*; D015996:Survival Rate
keywords: Axillary lymph node dissection (ALND); Breast cancer; Overall survival (OS); SINODAR ONE; Sentinel lymph node biopsy (SLNB)