Breast cancer breakthrough: thousands may avoid unnecessary surgery
NCT ID NCT04303715
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether women with small breast cancers (under 5 cm) and no signs of cancer in their lymph nodes on ultrasound can safely skip sentinel lymph node biopsy during breast-conserving surgery. About 1,734 women are being randomly assigned to either have the biopsy or not, and researchers will track cancer recurrence and survival over time. The goal is to reduce unnecessary surgery and side effects without harming outcomes.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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1,734 people
The number who actually took part.
- Started
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Sep 2020
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Women ≥ 19 years * Invasive unilateral breast carcinoma with histological confirmation * History of invasive breast cancer * Histologically or radiologically no suspicion of distant metastases * Performance status corresponding to ECOG grade 0-2 * Tumor size clinically and radiologically ≤ 5cm, independent of hormone receptor and HER2 status * Clinically and sonographically negative axillary lymph nodes before biopsy; core needle biopsy or fine needle aspiration of suspicious lymph node required * BCS candidate with postoperative whole-breast irradiation and adequate systemic therapy * No psychological and geographical restriction in follow-up * Written informed consent Exclusion Criteria: * History of any cancer in the previous 5 years * Bilateral breast cancer * Invasive breast cancer treated with neoadjuvant therapy * Tumor size clinically and radiologically \> 5cm * Mastectomy candidate * Pregnancy and breastfeeding * Male breast cancer * Unable to understand and fill out questionnaires
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Seoul National University Hospital
Seoul, Seoul, 03080, South Korea
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Other studies related to the condition(s) this trial covers.
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