Axillary dissection for low-volume nodal involvement after neoadjuvant therapy in breast cancer: multicentre AXSANA cohort study
Despite substantial additional nodal involvement in low-volume SLN/TLN disease, cALND does not provide clinically meaningful information for post-NACT systemic treatment modifications and should not be encouraged for diagnostic purposes alone.
Authors
- Susanne Seitz (ORCID: https://orcid.org/0000-0003-4420-0728)
- A Rief (ORCID: https://orcid.org/0009-0000-7234-2438)
- Nikola Bangemann
- Eric A. Klein (ORCID: https://orcid.org/0000-0002-1783-0698)
- Neslihan Cabıoğlu (ORCID: https://orcid.org/0000-0002-0989-7411)
- P Bolkenius
- K Hilmer
- M Busani
- B. Lex
- Kristina Åhsberg (ORCID: https://orcid.org/0000-0002-2652-2750)
- Juliane Farthmann (ORCID: https://orcid.org/0000-0002-8338-3531)
- U Felten
- Gabriele Kaltenecker
- K Unterrieder
- Marc Thill
- Ann Smeets (ORCID: https://orcid.org/0000-0002-5091-6602)
- Rosa Di Micco (ORCID: https://orcid.org/0000-0002-2575-8729)
- José Ignacio Sánchez-Méndez (ORCID: https://orcid.org/0000-0003-2559-2500)
- F Beldermann
- Florian Ebner (ORCID: https://orcid.org/0000-0003-2066-5344)
- G. Bonatz
- Núria Argudo (ORCID: https://orcid.org/0000-0002-8433-4168)
- Ana-Maria Mușină (ORCID: https://orcid.org/0000-0003-2970-2041)
- Antonio Marano
- Lia Pamela Rebaza (ORCID: https://orcid.org/0000-0002-9620-9460)
- Anna Madej‐mierzwa
- Oreste Gentilini (ORCID: https://orcid.org/0000-0002-4489-1867)
- C. Fuhljahn
- Gabriele Feisel-Schwickardi (ORCID: https://orcid.org/0000-0002-1449-2224)
- Peter Dall (ORCID: https://orcid.org/0000-0002-0565-7840)
- Cem Yılmaz (ORCID: https://orcid.org/0000-0002-2353-8044)
- Andraž Perhavec (ORCID: https://orcid.org/0000-0003-0559-3813)
- Michalis Kontos (ORCID: https://orcid.org/0000-0003-1686-7875)
- Patrice Diébold
- Maria Sciamannini
- Steffen Liebers
- Ashutosh Kothari (ORCID: https://orcid.org/0000-0001-9781-9466)
- C Ankel
- Susanne Barrot
- Geeta Kadayaprath (ORCID: https://orcid.org/0000-0002-7084-0107)
- M Taffurelli
- Giulia Armatura (ORCID: https://orcid.org/0000-0002-8536-7551)
- Bruna Leite (ORCID: https://orcid.org/0000-0002-3615-9705)
- A Hein
- D. Dieterle
- Marian Vanhoeij (ORCID: https://orcid.org/0000-0002-4806-2775)
- Mary Conway Keller (ORCID: https://orcid.org/0000-0001-8011-8014)
- R Berger
- D Langanke
- Antonella Grasso (ORCID: https://orcid.org/0000-0001-5394-7773)
- Elmar Stickeler (ORCID: https://orcid.org/0000-0002-9715-7260)
- Cüneyt Uğur (ORCID: https://orcid.org/0000-0002-6260-7719)
- Tilmann Lantzsch
- Christine Solbach (ORCID: https://orcid.org/0000-0001-8284-3199)
- Mick Burkhardt
- Gianluca Franceschini (ORCID: https://orcid.org/0000-0002-2950-3395)
- Michael Eichbaum (ORCID: https://orcid.org/0000-0001-5963-3361)
- Katarzyna S. Chrobak-Kasprzyk (ORCID: https://orcid.org/0000-0002-3704-4950)
- Wencke Ruhwedel (ORCID: https://orcid.org/0000-0001-6265-0496)
- Daniele Bolla (ORCID: https://orcid.org/0000-0002-6780-2687)
- M. Untch
- Hans‐Christian Kolberg (ORCID: https://orcid.org/0000-0003-0221-3272)
- Hadi T. Nia (ORCID: https://orcid.org/0000-0003-1970-9901)
- Helidon Nina (ORCID: https://orcid.org/0000-0002-5412-6966)
- Vesna Bjelic‐Radisic (ORCID: https://orcid.org/0000-0002-3749-4775)
- Stefan P. Renner (ORCID: https://orcid.org/0000-0003-2057-1268)
- Rebecka R. Malterling
- Kathrin Engelken
- Bilge Aktas Sezen
- Douglas Zippel (ORCID: https://orcid.org/0000-0003-3547-9974)
- Tomasz Berger
- R. Iosifidou
- M H Hansen
- Nina Ditsch (ORCID: https://orcid.org/0000-0001-7101-247X)
- Hermann Eichler (ORCID: https://orcid.org/0000-0002-1372-0619)
- Jens‐Uwe Blohmer (ORCID: https://orcid.org/0000-0002-7969-250X)
- Andrzej Lorek (ORCID: https://orcid.org/0000-0002-2277-4096)
- Michael Schrauder (ORCID: https://orcid.org/0000-0002-0619-2117)
- Laura Niinikoski (ORCID: https://orcid.org/0000-0002-0838-2918)
- Jutta Lefarth
- Natacha Ruyssers
- Christine Zeder-Goess
- Güldeniz Karadeniz Çakmak (ORCID: https://orcid.org/0000-0001-5802-4441)
- Tomasz Nowikiewicz (ORCID: https://orcid.org/0000-0002-6492-4427)
- Ingo Bauerfeind (ORCID: https://orcid.org/0000-0002-7916-0204)
- Zacharoula Sidiropoulou (ORCID: https://orcid.org/0000-0003-0430-3861)
- L. Bauer
- Linda Adwall (ORCID: https://orcid.org/0000-0002-0880-2468)
- Tal Hadar
- Luidmila Melnichuk
- Antje Nixdorf
- Mauro Porpiglia (ORCID: https://orcid.org/0009-0000-5909-2315)
- Tatiana Salazar (ORCID: https://orcid.org/0009-0006-9315-1685)
- Thomas Papathemelis (ORCID: https://orcid.org/0000-0003-1805-2610)
- K. Pankert
- U. Makowiec
- Isabel T. Rubio (ORCID: https://orcid.org/0000-0003-0035-0679)
- Peter Diem (ORCID: https://orcid.org/0000-0002-1190-9880)
- Jens Kosse
- Akash Goel
- David Pinto (ORCID: https://orcid.org/0000-0002-7998-3366)
- Alessandro Fancellu (ORCID: https://orcid.org/0000-0002-3997-8183)
- Mehmet Ali Gülçelik (ORCID: https://orcid.org/0000-0002-8967-7303)
- Veli Vural (ORCID: https://orcid.org/0000-0002-2004-4049)
- A Thodas
- Bruce H. Janke
- Massimiliano D’Aiuto (ORCID: https://orcid.org/0000-0002-4188-5226)
- Katherine Freese (ORCID: https://orcid.org/0000-0001-9490-020X)
- Daniela Rezek
- Lisa Steinhilper
- I.Cebrecos Lerena
- Inga Bekes
- Michael Hauptmann (ORCID: https://orcid.org/0000-0001-8539-0148)
- Andrea Stefek (ORCID: https://orcid.org/0000-0003-3596-8188)
- Eduard-Alexandru Bonci (ORCID: https://orcid.org/0000-0001-5119-0906)
- Orhan Ağcaoğlu (ORCID: https://orcid.org/0000-0003-1617-3953)
- Maria Luisa Gasparri (ORCID: https://orcid.org/0000-0002-9482-9527)
- Stephan Hasmüller
- Nobuko O. Kuhn
- Susanne Peschel
- Fabio Corsi (ORCID: https://orcid.org/0000-0002-6469-4086)
- Damiano De Tullio (ORCID: https://orcid.org/0000-0002-3419-9789)
- Christina Kühn (ORCID: https://orcid.org/0000-0002-8370-9706)
- Jens Schnabel
- Silvia Michieletto
- Eleftheria Ignatiadou
- Jana de Boniface (ORCID: https://orcid.org/0000-0001-9518-0902)
- Helena Sackey (ORCID: https://orcid.org/0009-0005-5320-0246)
- A. Putz (ORCID: https://orcid.org/0000-0002-5453-5081)
- Toralf Reimer (ORCID: https://orcid.org/0000-0003-3014-370X)
- Jamie L. Wagner
- Mustafa Ümit Uğurlu (ORCID: https://orcid.org/0000-0002-4757-5560)
- Jenci Palatty (ORCID: https://orcid.org/0000-0002-4783-0496)
- Susanne Kraudelt
- Agnieszka Kołacińska (ORCID: https://orcid.org/0000-0001-8707-0877)
- Telja Pursche
- José Luís Fougo (ORCID: https://orcid.org/0000-0003-1861-8178)
- Atakan Sezer (ORCID: https://orcid.org/0000-0002-2846-6879)
- Florian Fromm
- Marlene Mangold
- C Meisel (ORCID: https://orcid.org/0000-0002-8201-6377)
- C Großmann
- Bernard Schlesinger
- F. Max Müller (ORCID: https://orcid.org/0000-0002-7656-721X)
- Fredrik Wärnberg (ORCID: https://orcid.org/0000-0002-0130-7296)
- Michael P. Lux (ORCID: https://orcid.org/0000-0002-2781-2178)
- U Denison
- Margaret Hoing
- Liv-Hege Johnsen (ORCID: https://orcid.org/0000-0002-6302-630X)
- Sabine Riemer
- Zbigniew Ireneusz Nowecki (ORCID: https://orcid.org/0000-0001-7706-8191)
- Elke Faust
- Steffi Hartmann (ORCID: https://orcid.org/0000-0002-0145-1589)
- A. Lee Miller (ORCID: https://orcid.org/0000-0003-3394-4019)
- E. Thiemann (ORCID: https://orcid.org/0000-0002-5305-9466)
- C Cipolla
- R. Buss-Steidle
- R Oom
- A Lebrecht
- Thorsten Kuehn (ORCID: https://orcid.org/0000-0002-8708-2824)
- Kristina Wihlfahrt
- Markus Hufnagel (ORCID: https://orcid.org/0000-0002-7420-9136)
- T. Erber
- Sarun Thongvitokomarn (ORCID: https://orcid.org/0000-0002-3519-3290)
- Franziska Thele
- Elina Shaari
- J Czihak
- Lütfi Doğan (ORCID: https://orcid.org/0000-0002-3834-0911)
- E. Keil
- Morgan R. Barron (ORCID: https://orcid.org/0000-0002-3919-3925)
- Meryem Günay Gürleyik
- E von Abel
- Magali Paul
- Dawid Murawa (ORCID: https://orcid.org/0000-0003-3156-1882)
- Alexander Bachmann (ORCID: https://orcid.org/0000-0001-7161-3507)
- Sabine Schmatloch (ORCID: https://orcid.org/0000-0002-0131-7515)
- Shabaz Majid (ORCID: https://orcid.org/0000-0002-8745-478X)
- Joachim Rom (ORCID: https://orcid.org/0000-0002-9738-5503)
- Giovanni Tazzioli (ORCID: https://orcid.org/0000-0002-1102-7431)
- I. Utz-Billing
- F Bacelar
- Kathryn Roth (ORCID: https://orcid.org/0000-0002-1389-2576)
- Şeyda Günay (ORCID: https://orcid.org/0000-0003-0012-345X)
- Linda Zetterlund (ORCID: https://orcid.org/0000-0002-4774-5945)
- Hasan Karanlık (ORCID: https://orcid.org/0000-0001-6156-7260)
- Peter Fehr (ORCID: https://orcid.org/0000-0001-8168-8457)
- Franziska Ruf
- Frederike Klaassen Federspiel
- Susana Ribeiro (ORCID: https://orcid.org/0000-0003-0002-6465)
- Thomas Noesselt
- Stefan Kommos
- Nicola Rocco (ORCID: https://orcid.org/0000-0001-6941-7873)
- Franca Rosa Guerini (ORCID: https://orcid.org/0000-0001-9461-5927)
- Florentia Peintinger (ORCID: https://orcid.org/0000-0001-8109-3680)
- Maggie Banys‐Paluchowski
- Veronica Hagan
- Sven-Thomas Graßhoff
- W Seifert
- Elvira Buch Villa
- Lukáš Dostálek (ORCID: https://orcid.org/0000-0003-0151-4559)
- Jennifer Schroth
- S Mattes
- Michael Berghorn
- Viktor Soós
- Neil Stahl (ORCID: https://orcid.org/0000-0001-7265-2575)
- Volker Hanf
- Kristina Scheerer
- Katrin Ramaker
- Sarah Wetzig
- Anke Kleine-Tebbe
- Mateus Lins Dos Santos
- Sarah Fröhlich
- Ursula Scholz
- Antonio Piñero (ORCID: https://orcid.org/0000-0002-7718-8318)
- Beata Adamczyk
- Tsvetomir Ivanov (ORCID: https://orcid.org/0000-0002-2467-1648)
- Nicoletta Biglia (ORCID: https://orcid.org/0000-0003-1009-5309)
- Carolin Nestle-Krämling
- Johannes Lermann (ORCID: https://orcid.org/0000-0001-5851-6999)
- C. Anthuber
- Timo Basali
- N. Deuerling
- Thomas Hildebrandt (ORCID: https://orcid.org/0000-0002-7605-4465)
- Sonia A. Perez (ORCID: https://orcid.org/0000-0002-9777-8948)
- Andréia Cruz (ORCID: https://orcid.org/0000-0001-9100-5154)
- Christian Maurer (ORCID: https://orcid.org/0000-0003-4388-5163)
- Markus Hahn (ORCID: https://orcid.org/0000-0002-0284-6566)
- Christian W. Scholz (ORCID: https://orcid.org/0000-0001-6260-4086)
- Natalia Krawczyk (ORCID: https://orcid.org/0000-0003-0319-486X)
- Esther Schmidt (ORCID: https://orcid.org/0000-0002-6416-5619)
- James Schuster (ORCID: https://orcid.org/0000-0001-6304-8384)
- Emanuela Esposito (ORCID: https://orcid.org/0000-0002-2663-6387)
- Christian Schindlbeck
- Ellen Schlichting (ORCID: https://orcid.org/0000-0002-1989-9330)
- Leyre Lorente
- Diana Fischer
- I. Thalmann
- Dirk Watermann
- Grigorios Xepapadakis
- Michael Weigel
- H Heidegger
- C Neumann
- Sibel Özkan Gürdal
- T. Abraham
- Alicia Córdoba
- Otto K. Behrens
- Piotr Pluta (ORCID: https://orcid.org/0000-0003-0477-1542)
- H.‐J. Strittmatter
- I. Himsl
- S Lemster
- Annette Lebeau
- Matthias Hofmann
- R Völker
- U.‐S. Albert
- Susanne Albrecht
- R Rodriguez
- R. Felberbaum
- W. Heyl
- D Müller
- D. Mink
- S. Bucher
- Johannes Kruse
- O. Tomé
- Axel Gatzweiler
- Vasileios Venizelos
- Matthias Frank
- Ingrid Buck
- E Simón
- H. Graf
- Cihan Uras
- Tanja Durpektova Leuf
- Sonja Cáradenas Ovalle
- Katharina Jursik
- Hagigat Valiyeva Qanimat
- F Bilow
- Gabriele Stalzer
- I Natasiopoulos
- Jens-Paul Seldte
- J Leitsmann
- J Lecht
- Karen Wimmer-Freys
- S Rauen
- T Wanik
- U Fenske
- A Fleuster
- B Königs-El-Amrawy
- C Paschold
- C Schulte-Tiwisinia
Institutions
- Champalimaud Foundation (PT)
- Oslo University Hospital (NO)
- University of Medicine Tirana (AL)
- University of Helsinki (FI)
- Vita-Salute San Raffaele University (IT)
- Universität Hamburg (DE)
- Azerbaijan Medical University (AZ)
- Universität Ulm (DE)
- Guy's and St Thomas' NHS Foundation Trust (GB)
- National and Kapodistrian University of Athens (GR)
- Medical University of Graz (AT)
- Iuliu Hațieganu University of Medicine and Pharmacy (RO)
- Charles University (CZ)
- Sheba Medical Center (IL)
- Helsinki University Hospital (FI)
- University Hospital Augsburg (DE)
- King Chulalongkorn Memorial Hospital (TH)
- Karolinska Institutet (SE)
- Zonguldak Bülent Ecevit University (TR)
- Institute of Oncology Ljubljana (SI)
- Max Healthcare (IN)
- Ospedale regionale di Lugano (CH)
- Rems-Murr-Klinikum (DE)
- Saint Göran Hospital (SE)
- Institute of Oncology Prof. Dr. Ion Chiricuta (RO)
- Ospedale Sant'Anna (IT)
- University Medical Center Hamburg-Eppendorf (DE)
- Greater Poland Cancer Center (PL)
- University Hospital Schleswig-Holstein (DE)
- Laiko General Hospital of Athens (GR)
- Marienhospital Bottrop (DE)
- Klinikum Esslingen (DE)
- Universitätsklinikum Aachen (DE)
- EsSALUD (PE)
- University Children's Hospital Tübingen (DE)
- Haydarpaşa Numune Eğitim ve Araştırma Hastanesi (TR)
- Universitair Ziekenhuis Brussel (BE)
- Sağlık Bilimleri Üniversitesi (TR)
- Brüderkrankenhaus St. Josef Paderborn (DE)
- IRCCS Ospedale San Raffaele (IT)
- St. Josef Krankenhaus (DE)
- St. Vincenz-Krankenhaus Limburg (DE)
- Clinica Universidad de Navarra (ES)
- Hyogo Brain and Heart Center (JP)
- Karl Schlecht Stiftung (DE)
- Evangelisches Diakoniekrankenhaus (DE)
- Academic Research in Complementary and Integrative Medicine (DE)
- Medizinische Hochschule Brandenburg Theodor Fontane (DE)
- Agaplesion Markus Hospital (DE)
- Schmerzklinik Kiel (DE)
- University Hospital Ulm (DE)
- St. Anna Hospital (DE)
- Technische Hochschule Ulm (DE)
- University of Zielona Góra (PL)
- University of Rostock (DE)
- Università della Svizzera italiana (CH)
- University of Tirana (AL)
- University of Tübingen (DE)
- University of Lübeck (DE)
Publication Details
- Journal
- British journal of surgery
- Published
- 2025-08-15
- DOI
- https://doi.org/10.1093/bjs/znaf180
- Citations
- 1
- Primary Topic
- Breast Cancer Treatment Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.94