An interventional study of axillary lymph node dissection (ALND) in Lymph Node Metastases, Breast Cancer and Predictive Cancer Model, sponsored by Zhejiang Cancer Hospital. Status unknown at 1 site in China. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-06-04.
Sponsored by Zhejiang Cancer Hospital · Not applicable, Interventional, and Treatment
In the previous study, the investigator established a predictive model for non-sentinel lymph node involvement in early breast cancer (cT1-2cN0, 1-2 SLNs involvement). To validation the clinical value of the model, the investigator design a prospectively research using the model guiding for further axillary lymph node dissection in SLN-positve early breast cancer.
In the previous study, a predictive model for non-sentinel lymph node involvement in early breast cancer (cT1-2cN0, 1-2 SLNs involvement) was established. This model was designed for predicting the status of non-sentinel lymph node in cT1-2cN0 with 1-2 SLNs involvement breast cancer based on peripheral blood CK19 and contrast-enhanced ultrasound. The investigator previously tested this model comparing with MSKCC model in a same population and confirmed a result of satisfactory low false-negative rate and high AUC. This model had a potential practise value in clinic applying. For further validation, the research group design the CK19B trial to prospectively using this model in decision strategy of whether receiving ALND in 1-2SLNs+ patients. If the model predictive result is negative, the risk of nSLNs involvement is estimated very low and the patients should be avoid ALND, even radiotherapy no matter the surgery is mastectomy or conserving. If the model result is positive, then further ALND or radiotherapy should be accepted by patients to decrease the risk of local and regional recurrent. A prospectively and conditional grouping method is planned for this cohort study. The primary endpoint is disease-free survival (DFS) in two groups, the second primary endpoint is local recurrent rate (LRR) and overall survival (OS).
the test group should be in accordance with the pathological diagnosis of breast cancer, the clinical stage of breast cancer (stage cTis, cI, cII and cT3N1M0), the initial treatment to receive surgical treatment. Complete preoperative clinical diagnosis data, including the ipsilateral axillary lymph node CEUS data and peripheral blood sample; The negative-control group should comply with the pathological diagnosis, breast adenosis, fibrocystic lesions, breast cysts and other benign lesions, with complete preoperative clinical data, also including ipsilateral axillary lymph node CEUS data and peripheral blood sample
Exclusion Criteria:
No further axillary lymph node dissection (ALND)
axillary lymph node dissection (ALND)
Procedure: axillary lymph node dissection (ALND)
If the patients had predictive nSLN+, need further axillary lymph node dissection.
disease-free survival (DFS)
The time from enrollment to the first recurrent or metastasis event
Time frame: 3-year(mid-term) 5-year
local recurrent rate
The time from enrollment to the first time of local recurrent event (lymph drainage area recurrence)
Time frame: 3-year(mid-term) 5-year
overal survival (OS)
The time from enrollment to death for any reason
Time frame: 3-year(mid-term) 5-year
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Zhejiang Cancer Hospital