RecruitingNot applicableFemale onlyEN originalBreast cancerEarly / localized

Targeted Axillary Dissection (TAD) in Early-stage Node Positive Breast Cancer

⚠️

This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

RATIONALE: It is now standard for most breast cancer patients with 1-2 positive sentinel nodes to avoid completion node dissection when eligibility criteria from the American College of Surgeons Oncology Group (ACOSOG) Z0011 trial are met. The National Comprehensive Cancer Network (NCCN) recently proposed to extend this indication to patients that present with biopsy proven node positive disease if only 1 or 2 suspicious nodes are found on imaging, these positive nodes are not palpable clinically, and the other eligibility criteria from the Z0011 study are otherwise met. However, this recommendation is based on an expert consensus and no study has yet confirmed the optimal method to stage the axilla in this patient population. PURPOSE: Evaluate the technical success rate and accuracy of sentinel node biopsy (SNB) and the potential benefits of clipping and removing the biopsy proven node using radioactive seed localisation (RSL) (SNB+RSL = Targeted Axillary Dissection (TAD)) in patients with biopsy proven positive nodes, limited nodal disease in imaging and clinically negative axillary examination.

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • Wiek od 18 lat
  • Rak piersi w stadium T1 lub T2, bez względu na status receptorów
  • Podejrzane węzły chłonne w badaniu USG (maks. dwa)
  • Potwierdzone biopsją zajęcie węzła pachowego
  • Dobry stan sprawności (ECOG <2)
  • Podpisana świadoma zgoda

✗ Disqualifies

  • Wcześniejsza operacja węzłów pachowych, w tym biopsja węzła wartowniczego
  • Przerzuty odległe
  • Wcześniejsza radioterapia węzłów pachowych
  • Wcześniejsze leczenie neoadjuwantowe
  • Uczulenie na barwnik używany do znakowania węzłów
  • Brak zdolności do wyrażenia świadomej zgody

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Last updated (source)
February 20, 2025
Sex
Female only

Therapies / drugs in trial

Locations (3)

Hôpital Maisonneuve-Rosemont

Montreal, Canada

Centre hospitalier de l'Université de Montréal

Montreal, Canada

Jewish General Hospital

Montreal, Canada

Trial contact

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 7/1/2026.

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