Selective Axillary Lymph Node Dissection Vs Complete Axillary Dissection: A Randomised Clinical Trial to Assess the Prevention of Lymphedema in Breast Cancer Treatment
NCT03083314 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 130
Last updated 2021-04-09
Summary
This is a pilot study at the National Cancer Institute (INT) of Milan evaluated the feasibility of selective axillary dissection (SAD) which preserved the lymphatic drainage of the arm. Lymph nodes draining the arm are identified following radiotracer injection and lymphoscintigraphy, a technique called axillary reverse mapping (ARM). SAD was found feasible in 75% of patients. Furthermore only 9% had BCRL after SAD compared to 33% after axillary lymph node dissection (ALND).
Conditions
Interventions
- PROCEDURE
-
SELECTIVE AXILLARY LYMPH NODE DISSECTION (SAD)
- PROCEDURE
-
COMPLETE AXILLARY DISSECTION (ALND)
Sponsors & Collaborators
-
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-06-12
- Primary Completion
- 2018-11-15
- Completion
- 2020-12-04
Countries
- Italy
Study Locations
More Related Trials
-
Comparison of Axillary Lymph Node Dissection with Axillary Radiation for Patients with Node-Positive Breast Cancer Treated with Chemotherapy
NCT01901094 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Selective Image Guided Resection of Pathologically Documented Axillary Lymph Node Metastases
NCT03281720 ·Status: COMPLETED ·Phase: NA
-
Medico-economic Study of Three Strategies of Sentinel Lymph Node Analysis in Operable Breast Cancer
NCT02056886 ·Status: COMPLETED ·Phase: NA
-
TAD in Primary Breast Cancer With Initially ≥ 3 Suspicious Lymph Nodes
NCT05462457 ·Status: RECRUITING
-
Sentinel and/or Axillary Lymph Node Biopsy With or Without Axillary Reverse Mapping in Reducing Incidence and Severity of Arm Lymphedema in Stage 0-2 Patients.
NCT01276054 ·Status: TERMINATED ·Phase: PHASE2
-
Axillary Lymph Node Preservation Surgery in Reducing Lymphedema in Patients With Breast Cancer
NCT00932035 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Lymphedema Evaluation After Adjuvant Hypofractionated Radiotherapy for 1-2 Macrometastatic Sentinel Lymph Nodes
NCT06321653 ·Status: RECRUITING
-
ALND vs ART in Positive Sentinel Node After Neoadjuvant Therapy in Breast Cancer
NCT04889924 ·Status: RECRUITING ·Phase: NA
-
Axillary Radiotherapy or Axillary Lymph Node Dissection in Patients With Clinically Node- Positive Breast Cancer Undergoing Upfront Tailored Axillary Surgery
NCT07140172 ·Status: RECRUITING ·Phase: NA
-
Surgical Resection With or Without Axillary Lymph Node Dissection in Treating Women With Node-Negative Breast Cancer and Sentinel Lymph Node Micrometastases
NCT00072293 ·Status: COMPLETED ·Phase: NA
-
Prospective Evaluation of Targeted Axillary Dissection (TAD)
NCT04998682 ·Status: COMPLETED ·Phase: NA
-
Surgery to Remove Sentinel Lymph Nodes With or Without Removing Lymph Nodes in the Armpit in Treating Women With Breast Cancer
NCT00003830 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of a Comprehensive Prevention Program to Reduce Lymphedema After Axillary Lymph Node Dissection in People With Breast Cancer
NCT06144164 ·Status: RECRUITING ·Phase: PHASE3
-
Axillary Lymph Node Treatment Guided by Naocarbon Tracing After Neoadjuvant Chemotherapy
NCT05241119 ·Status: RECRUITING ·Phase: NA
-
Comparison of Axillary Sentinel Lymph Node Biopsy Versus no Axillary Surgery
NCT02466737 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Axillary Reverse Mapping in Preventing Lymphedema in Patients With Breast Cancer Undergoing Axillary Lymph Node Dissection
NCT03927027 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Identification and Preservation of Arm Lymphatics
NCT04446494 ·Status: UNKNOWN ·Phase: NA
-
Axillary Node Dissection w or w/o LVB in Node Positive Breast Cancer Patients
NCT05970107 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluation of Targeted Axillary Lymph Node Dissection in Node Positive Breast Cancer Patients Post Neo Adjuvant Therapy
NCT05676866 ·Status: UNKNOWN ·Phase: PHASE4
-
Conservative Surgery With or Without Axillary Lymphnode Removal in Treating Women With T1N0 Breast Cancer
NCT01508546 ·Status: COMPLETED ·Phase: PHASE3
-
Registry Trial to Evaluate the Clinical Utilization of Targeted Axillary Dissection (TAD)
NCT03102307 ·Status: COMPLETED
-
Axillary Node Dissection Versus no Dissection in Breast Cancer With Positive Sentinel Lymph Node
NCT01717131 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Axillary Drainage Following Lymph Node Dissection in Women With Stage I or Stage II Breast Cancer
NCT00005600 ·Status: UNKNOWN ·Phase: NA
-
Impact of a Surgical Sealing Patch on Lymphatic Drainage After ALND for Breast Cancer
NCT02311543 ·Status: COMPLETED ·Phase: PHASE3
-
Immediate Axillary Plasty With a Pedicled Muscle Flap for Breast Cancer Related Lymphedema Prevention
NCT02318615 ·Status: UNKNOWN ·Phase: NA