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DOI 10.1016/j.ejso.2026.111867

Медицинская библиотека · European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2026

AGO Breast Committee recommendations for the surgical therapy of breast cancer: Working Group on Gynecologic Cancers (AGO) update 2026.

Banys-Paluchowski Maggie, Solbach Christine, Kühn Thorsten, Müller Volkmar, Ditsch Nina, Fehm Tanja, Albert Ute-Susann, Bartsch Rupert, Bauerfeind Ingo, Blohmer Jens-Uwe, Budach Wilfried, Dall Peter, Fallenberg Eva Maria, Fasching Peter A, Friedrich Michael, Gluz Oleg, Harbeck Nadia, Hartkopf Andreas, Heil Jörg, Hörner-Rieber Juliane, Huober Jens, Janni Wolfgang, Kreipe Hans-Heinrich, Krug David, Kümmel Sherko, Loibl Sibylle, Lüftner Diana, Lux Michael Patrick, Maass Nicolai, van Mackelenbergh Marion Tina, Mundhenke Christoph, Park-Simon Tjoung-Won, Reinisch Mattea, Rhiem Kerstin, Rody Achim, Schmidt Marcus, Schneeweiss Andreas, Schütz Florian, Sinn Hans-Peter, Solomayer Erich-Franz, Stickeler Elmar, Untch Michael, Witzel Isabell, Wöckel Achim, Wuerstlein Rachel, Reimer Toralf, Bjelic-Radisic Vesna, Thill Marc

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Аннотация

The German Guideline Committee (AGO: Working Group on Gynecologic Cancers) updated its yearly recommendations on the diagnosis and treatment of breast cancer in March 2026. Chapters on oncological and oncoplastic-reconstructive surgery are coordinated with the Working Group for Plastic, Aesthetic, and Reconstructive Surgery in Gynecology (AWOgyn). The most important changes include the ommission of sentinel lymph node biopsy (SLNB) and preffered axillary staging in patients with node-positive breast cancer undergoing neoadjuvant chemotherapy (NACT). Targeted axillary dissection (TAD) is endorsed as the method of choice [AGO ++] in patients converting from cN + to ycN0 status, and other de-escalated techniques (SLNB, target lymph node biopsy [TLNB]) are also possible options [AGO +]. Following NACT, ALND is indicated only when macrometastatic disease is detected in the sentinel and/or in the target lymph node.

Для цитирования: Banys-Paluchowski Maggie, Solbach Christine, Kühn Thorsten, Müller Volkmar, Ditsch Nina, Fehm Tanja, Albert Ute-Susann, Bartsch Rupert, Bauerfeind Ingo, Blohmer Jens-Uwe, Budach Wilfried, Dall Peter, Fallenberg Eva Maria, Fasching Peter A, Friedrich Michael, Gluz Oleg, Harbeck Nadia, Hartkopf Andreas, Heil Jörg, Hörner-Rieber Juliane, Huober Jens, Janni Wolfgang, Kreipe Hans-Heinrich, Krug David, Kümmel Sherko, Loibl Sibylle, Lüftner Diana, Lux Michael Patrick, Maass Nicolai, van Mackelenbergh Marion Tina, Mundhenke Christoph, Park-Simon Tjoung-Won, Reinisch Mattea, Rhiem Kerstin, Rody Achim, Schmidt Marcus, Schneeweiss Andreas, Schütz Florian, Sinn Hans-Peter, Solomayer Erich-Franz, Stickeler Elmar, Untch Michael, Witzel Isabell, Wöckel Achim, Wuerstlein Rachel, Reimer Toralf, Bjelic-Radisic Vesna, Thill Marc. AGO Breast Committee recommendations for the surgical therapy of breast cancer: Working Group on Gynecologic Cancers (AGO) update 2026.. European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology. 2026. DOI: 10.1016/j.ejso.2026.111867.

Предметные рубрики MeSH

HumansFemaleBreast NeoplasmsSentinel Lymph Node BiopsyLymph Node ExcisionNeoplasm StagingLymphatic MetastasisNeoadjuvant TherapyAxillaLymph Nodes
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