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De-escalating axillary surgery in ductal carcinoma in situ undergoing mastectomy with immediate reconstruction: Is routine sentinel lymph node biopsy an overtreatment?

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Title: De-escalating axillary surgery in ductal carcinoma in situ undergoing mastectomy with immediate reconstruction: Is routine sentinel lymph node biopsy an overtreatment?
Authors: Scardina L; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy. Electronic address: lorenzo.scardina@policlinicogemelli.it., D'Archi S; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Accetta C; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Carnassale B; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Di Guglielmo E; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Di Leone A; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., De Lauretis F; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Franco A; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Gagliardi F; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Gambaro E; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Magno S; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Moschella F; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Natale M; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Sanchez AM; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Silenzi M; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Bucaro A; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Di Pumpo A; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Petrazzuolo E; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Pirrottina CV; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Rianna C; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Franceschini G; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Source: Surgery [Surgery] 2026 Aug; Vol. 196, pp. 110314. Date of Electronic Publication: 2026 May 12.
Publication Type: Journal Article
Journal Info: Publisher: Mosby Country of Publication: United States NLM ID: 0417347 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-7361 (Electronic) Linking ISSN: 00396060 NLM ISO Abbreviation: Surgery Subsets: MEDLINE
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  Data: De-escalating axillary surgery in ductal carcinoma in situ undergoing mastectomy with immediate reconstruction: Is routine sentinel lymph node biopsy an overtreatment?
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  Data: <searchLink fieldCode="AU" term="%22Scardina+L%22">Scardina L</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy. Electronic address: lorenzo.scardina@policlinicogemelli.it.<br /><searchLink fieldCode="AU" term="%22D'Archi+S%22">D'Archi S</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Accetta+C%22">Accetta C</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Carnassale+B%22">Carnassale B</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Di+Guglielmo+E%22">Di Guglielmo E</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Di+Leone+A%22">Di Leone A</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22De+Lauretis+F%22">De Lauretis F</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Franco+A%22">Franco A</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Gagliardi+F%22">Gagliardi F</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Gambaro+E%22">Gambaro E</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Magno+S%22">Magno S</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Moschella+F%22">Moschella F</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Natale+M%22">Natale M</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Sanchez+AM%22">Sanchez AM</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Silenzi+M%22">Silenzi M</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Bucaro+A%22">Bucaro A</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Di+Pumpo+A%22">Di Pumpo A</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Petrazzuolo+E%22">Petrazzuolo E</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Pirrottina+CV%22">Pirrottina CV</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Rianna+C%22">Rianna C</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Franceschini+G%22">Franceschini G</searchLink>; Breast Unit, Department of Women and Children Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
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  Data: <searchLink fieldCode="JN" term="%220417347%22">Surgery</searchLink> [Surgery] 2026 Aug; Vol. 196, pp. 110314. <i>Date of Electronic Publication: </i>2026 May 12.
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