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

Breast Cancer Res Treat · 2026 · PMC12999590 · PMID 41848913

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a decreasing trendno p-value reported
Notably, axillary recurrence rates in the no-surgery arms showed a decreasing trend over time.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.