Does Ultrasound Guidance Axillary Incision Improve Sentinel Lymph Node Detection in Breast Cancer?

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorAntalya Training and Research Hospital

About this trial

This single-center randomized controlled trial evaluates whether detecting the first lymph node at the axillary entrance with ultrasound guidance, followed by a targeted axillary incision over the pencil-marked projection, improves sentinel lymph node identification compared to the conventional axillary hairline landmark. The study hypothesizes that this technique enables a smaller incision, minimizes tissue dissection, and reduces operative time.

Eligibility criteria

Qualifiers

* Patients with clinical stage T1-T3 disease (tumor ≤5 cm), pN0-pN1 (one to three regional lymph nodes with micrometastases or metastases), and M0 (no distant metastasis) are eligible. Post-neoadjuvant yT1-T3, yN0-yN1, and M0 status are also eligible. All patients are undergoing axillary staging.

Clinically negative axilla

Written informed consent must be obtained prior to inclusio

Disqualifiers

Younger than 18 years

Previous breast malignancy

Pregnancy

Pre-operative diagnosis of axillary lymph node metastases

Trial design

Treatments tested in this trial

  • Ultrasound-guided axillary incision group
  • The standard axillary incision

Treatment groups

40 Participants
are divided into 2 treatment groups