Status:

COMPLETED

Surgical Resection With or Without Axillary Lymph Node Dissection in Treating Women With Node-Negative Breast Cancer and Sentinel Lymph Node Micrometastases

Lead Sponsor:

ETOP IBCSG Partners Foundation

Conditions:

Breast Cancer

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

RATIONALE: Surgery to remove lymph nodes in the armpit in patients with sentinel lymph node micrometastases may remove cancer cells that have spread from tumors in the breast. It is not yet known whet...

Detailed Description

OBJECTIVES: * Compare disease-free survival of women with clinically node-negative breast cancer with sentinel lymph node micrometastases treated with surgical resection with or without axillary diss...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Clinical, mammographic, ultrasonographic, or pathologic diagnosis of unicentric and unifocal breast carcinoma
  • Largest tumor lesion ≤ 5 cm
  • Palpable or nonpalpable breast lesion
  • Preoperative radioactive occult lesion localization, hook wire, or other method of localization required for nonpalpable lesions
  • Prior (preoperative) or planned (intraoperative) sentinel node biopsy required
  • At least 1 micrometastatic (i.e., no greater than 2 mm) sentinel lymph node with no extracapsular extension
  • No clinical evidence of distant metastases
  • No suspicious manifestation of metastases that cannot be ruled out by x-ray, MRI, or CT scan, including the following:
  • Skeletal pain of unknown cause
  • Elevated alkaline phosphatase
  • Bone scan showing hot spots
  • No palpable axillary lymph node(s)
  • No Paget's disease without invasive cancer
  • Hormone receptor status:
  • Estrogen receptor and progesterone receptor known
  • PATIENT CHARACTERISTICS:
  • Age
  • Any age
  • Sex
  • Female
  • Menopausal status
  • Any status
  • Performance status
  • Not specified
  • Life expectancy
  • Not specified
  • Hematopoietic
  • Not specified
  • Hepatic
  • See Disease Characteristics
  • Renal
  • Not specified
  • Other
  • Not pregnant or nursing
  • No other prior or concurrent malignancy except the following:
  • Adequately treated basal cell or squamous cell skin cancer
  • Adequately treated carcinoma in situ of the cervix
  • Adequately treated in situ melanoma
  • Contralateral or ipsilateral carcinoma in situ of the breast
  • No psychiatric, addictive, or other disorder that may compromise ability to give informed consent
  • Geographically accessible for follow-up
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • Not specified
  • Chemotherapy
  • Not specified
  • Endocrine therapy
  • Not specified
  • Radiotherapy
  • Not specified
  • Surgery
  • See Disease Characteristics
  • Other
  • No prior systemic therapy for breast cancer
  • More than 1 year since prior chemopreventive agent

Exclusion

    Key Trial Info

    Start Date :

    December 1 2001

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 31 2017

    Estimated Enrollment :

    931 Patients enrolled

    Trial Details

    Trial ID

    NCT00072293

    Start Date

    December 1 2001

    End Date

    March 31 2017

    Last Update

    January 23 2018

    Active Locations (31)

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    Page 1 of 8 (31 locations)

    1

    Lismore Base Hospital

    Lismore, New South Wales, Australia, 2480

    2

    St Vincents Hospital

    Lismore, New South Wales, Australia, 2480

    3

    Mater Hospital - North Sydney

    North Sydney, New South Wales, Australia, 2060

    4

    Royal North Shore Hospital

    St Leonards, New South Wales, Australia, 2065