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Upfront Targeted Axillary Dissection for Luminal Breast Cancer With Limited Axillary Involvement
Sponsor: European Institute of Oncology
Summary
The present study aims to avoid axillary lymph node dissection (ALND) in patients with an Ultrasound (US) detected positive preoperative lymph node involvement (1 or 2 suspicious lymph-nodes) and a needle histology/cytology placing a marker in the most suspicious node undergoing upfront surgery if neoadjuvant treatment is not indicated. The marked lymph node will be retrieved along with sentinel lymphnode(SLN)(s) to minimize the false-negative rate and only in case of ≥3 positive SLNs ALND will be performed, in order to minimize surgical overtreatment among women with preoperatively confirmed axillary nodal metastasis.
Official title: Upfront Targeted Axillary Dissection for Luminal Breast Cancer With Limited Axillary Involvement: the UTAD Study of the Italian National Association of Breast Surgeons (ANISC)
Key Details
Gender
All
Age Range
18 Years - 90 Years
Study Type
OBSERVATIONAL
Enrollment
150
Start Date
2026-01-28
Completion Date
2033-11
Last Updated
2026-02-03
Healthy Volunteers
No
Interventions
Upfront Targeted Axillary Dissection (UTAD)
During the surgical intervention lymphnodes excised both with reflector localization and Gamma probe will be sent for pathological examination and only in case of more than 2 metastatic lymph nodes (and at least one of them with macrometastasis) axillary dissection will be performed.
Locations (14)
IRCCS AOU di Bologna - Policlinico di Sant'Orsola
Bologna, Italy, Italy
AUSL Romagna - Presidio Ospedaliero Morgagni-Pierantoni
Forlì, Italy, Italy
European Institute of Oncology
Milan, Italy, Italy
Fondazione IRCCS Istituto Nazionale Tumori di Milano
Milan, Italy, Italy
Azienda Ospedaliera Universitaria Federico II
Naples, Italy, Italy
Presidio Ospedaliero "G. Bernabeo"
Ortona, Italy, Italy
Policlinico San Matteo
Pavia, Italy, Italy
Azienda Ospedaliera Universitaria Pisana
Pisa, Italy, Italy
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma, Italy, Italy
AO San Giovanni Addolorata
Roma, Italy, Italy
IRCCS Humanitas Research Hospital
Rozzano, Italy, Italy
Azienda sanitaria universitaria Giuliano Isontina
Trieste, Italy, Italy
ASST Sette Laghi - Ospedale di Circolo e Fondazione Macchi
Varese, Italy, Italy
Ente Ospedaliero Cantonale
Lugano, Switzerland, Switzerland