2 results match your criteria: "Araba Txagorritxu University Hospital[Affiliation]"

Background And Purpose: In breast cancer (BC) patients, the involvement of four or more lymph nodes (LN) is an indication of regional irradiation. The optimal treatment strategy remains unclear when fewer nodes are involved and lymphadenectomy is not performed. We designed a clinical trial to show the non-inferiority of Incidental (INC) compared to intentional (INT) irradiation of axillary nodes in patients with early-stage BC and low burden LN involvement.

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Article Synopsis
  • The OPTIMAL study investigates the effectiveness of incidental irradiation of axillary lymph nodes in early-stage breast cancer patients with limited sentinel lymph node involvement, using advanced molecular techniques for better treatment standardization.
  • Patients are randomly assigned to receive either comprehensive irradiation (including axillary and supraclavicular areas) or limited irradiation (only the breast and tumor bed) after conservative surgery, with the goal of demonstrating that the incidental approach is not worse regarding disease-free survival over five years.
  • The study aims to address the lack of consensus in treating breast cancer patients with few affected lymph nodes and hopes that the One-Step Nucleic Acid Amplification (OSNA) technique can help identify which patients will
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