Breast Cancer pp 285-294 | Cite as

Axillary Node Dissection in Breast Cancer

  • James F. PingpankJr.
  • Elin R. Sigurdson
Part of the Current Clinical Oncology book series (CCO)


Axillary node dissection has been part of standard therapy for early breast cancer for more than a century. Since Fisher proposed that most breast cancers have spread before their detection, there has been controversy surrounding whether axillary node dissection is necessary in the treatment of early breast cancer. A trend toward less radical surgery and the possibility that axillary node involvement represents only a marker for distant disease has led many to believe that sampling the axilla is adequate and that full axillary dissection need not be performed. Reliable identification of the first node draining the tumor (the sentinel node), better pathologic staging of the primary tumor, more aggressive use of chemotherapy, and detection of smaller and smaller lesions have all contributed to the controversy.


Breast Cancer Sentinel Node Sentinel Node Biopsy Axillary Node Axillary Node Dissection 
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Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • James F. PingpankJr.
  • Elin R. Sigurdson

There are no affiliations available

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