Omission of axillary surgery in early breast cancer with negative lymph nodes: a systematic review and meta-analysis of randomized clinical trials

Key Points

• To evaluate the effects of omitting axillary surgery in early breast cancer with negative lymph nodes.
• Conducted a systematic review and meta-analysis of randomized clinical trials
• Analyzed outcomes related to overall survival and disease-free survival
• Assessed rates of axillary recurrence
• Omission of axillary surgery does not negatively affect overall survival
• Omission does not negatively affect disease-free survival
• There is a higher risk of axillary recurrence, but it remains low.

Abstract