At a glance
ClinicalIndex Comparison Record- ✓Female patients aged 18-70 years
- ✓Pathologically confirmed invasive breast cancer with tumor diameter ≤ 3 cm, planning breast surgery
- ✓Negative axillary lymph nodes by physical exam and imaging (2+ tests: ultrasound, breast MRI, PET-CT, PET-MRI, PET)
- ✓Immunohistochemical staining for ER, PR, HER2, Ki-67; FISH for HER2 2+ cases
- ✕Bilateral, lactating, or pregnant breast cancer
- ✕Previous history of malignant tumor or neoplasm
- ✕Clinical or imaging confirmation of distant metastasis
- ✕History of previous surgery on affected axilla or surgery affecting upper extremity function
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Omission of Sentinel Lymph Node Biopsy (SLNB ) in Early Breast Cancer Patients with Clinically Assessed Negative Axillary Lymph Nodes (cN0): a Phase II, Prospective Clinical Trial
In Brief
A clinical study evaluating Omit SLNB for Breast Cancer and 2 related conditions. Currently recruiting, targeting 311 participants across 1 site.
Detailed Summary
The OMSLNB trial adopts a prospective, single-arm, non-inferiority, phase-II, open-label study design. Patients with unilateral invasive breast cancer (tumor ≤3cm) and assessed as cN0 will be eligible for inclusion, enrolled patients are required to complete 2 or more imaging tests including axillary ultrasound assessed as axillary lymph node negative, and other tests including MRI, PET-CT, \[18F\]-FDG PET-MRI, eligible patients will avoid axillary surgery but will undergo breast surgery, which is not limited to breast-conserving surgery (BCS). So as to decrease the edema of upper arm, and finally improve the quality of life of the patients.
Study Details
Timeline
Interventions
All patients enrolled have to receive two or more imaging tests including axillary ultrasound assessed as axillary lymph node negative, and other tests including MRI, PET-CT, \[18F\]-FDG PET-MRI, axillary surgery will be omitted for eligible patients, and BCS or mastectomy (allowing breast reconstruction) will be chosen voluntarily by the patient under the premise of ensuring therapeutic efficacy, patients receiving BCS must undergo whole breast irradiation (WBI) after surgery, and the radiotherapy target area does not include the axillary region.