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Proposed axillary treatment after PST
(Netherlands Cancer Institute)
Koolen et al, Br J Surg 2017
If applied to 93 patients undergoing PET-CT:
•
74% of patients an ALND would have been avoided
•
3%
(3 pts with false negative MARI) would have been
“undertreated”
•
17%
(13 ART, but no additional pos. nodes; 3 x ALND in case of ≥ 4
nodes) would have been
“overtreated”
•
= current practice !
Data to be obtained through Dutch Cancer Registry