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A systematic review shows no negative impact on survival in early breast cancer with omitted axillary surgery, suggesting safety in this approach.
The omission of axillary surgery in early-stage breast cancer with clinically negative lymph nodes does not negatively impact overall or disease-free survival. However, it is associated with a higher-though still low-risk of axillary recurrence.
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Castelo et al. (2026) studied this question.
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