Is an Axillary Dissection an Obsolete Operation? (BST)
This session has been identified and designated as Credit to Meet ACS Accreditation/Verification Requirements for Breast.
The American Society of Breast Surgeons (ASBS), identified routine axillary dissection after a positive sentinel node as an area of concern and need for improved surgical education as part of the American Medical Association (AMA) Choosing Wisely project. As stated by the ASBS after a sentinel node biopsy has been performed “Recent evidence suggests further node surgery is not necessary in patients with cancer found in fewer than three sentinel node (SN) if the patient receives other recommended cancer treatments.” This session will elaborate on and discuss this recommendation and the role of axillary radiation as well clinical scenarios in which an axillary dissection is appropriate.
Tina W.F. Yen, MD, MS, FACS, Milwaukee, WI
- When Is Axillary Lymph Node Dissection Obsolete?
Mehra Golshan, MD, FACS, Boston, MA
- When Is Axillary Lymph Node Dissection Still Recommended?
Barbara L. Smith, MD, FACS, Boston, MA
- How Best to Avoid an Axillary Lymph Node Dissection
Melissa L. Pilewskie, MD, FACS, New York, NY
Laurie J. Kirstein, MD, FACS, New York, NY
- Practicing surgeons
- Apply new knowledge and ideas to improve their surgical practice
- Adapt concepts and quality measures in support of research advancements
- Enhance the quality of patient care
- For questions about the course content, please contact firstname.lastname@example.org.
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In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website: http://www.accme.org/requirements/accreditation-requirements-cme-providers/policies-and-definitions/financial-relationships-and-conflicts-interest
The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation.
(Download the full list of disclosures.)
Faculty and Disclosures
Tina W.F. Yen, MD, MS, FACS, Milwaukee, WI - No Disclosures
Mehra Golshan, MD, FACS, Boston, MA - No Disclosures
Barbara L. Smith, MD, FACS, Boston, MA - No Disclosures
Melissa L. Pilewskie, MD, FACS, New York, NY - No Disclosures
Laurie J. Kirstein, MD, FACS, New York, NY - No Disclosures
Program Committee and Disclosures
CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - No Disclosures
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - No Disclosures
David C. Borgstrom, MD, FACS, Morgantown, WV - No Disclosures
Daniel L. Dent, MD, FACS, San Antonio, TX - No Disclosures
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Audra A. Duncan, MD, FACS, London, ON - No Disclosures
Mariam F. Eskander, MD, Boston, MA - No Disclosures
Paula Ferrada, MD, FACS, Richmond, VA - No Disclosures
Neil H. Hyman, MD, FACS, Chicago, IL - No Disclosures
Martin S. Karpeh, Jr., MD, FACS, New York, NY - No Disclosures
Dennis H. Kraus, MD, FACS, New York, NY - No Disclosures
Kenneth W. Sharp, MD, FACS, Nashville, TN - No Disclosures
David A. Spain, MD, FACS, Stanford, CA - No Disclosures
Mary T. Hawn, MD, FACS, Stanford, CA - No Disclosures
Daniel M. Herron, MD, FACS, FASBMS, New York, NY - No Disclosures
Barbara Lee Bass, MD, FACS, FRCS(Hon), Houston, TX - No Disclosures
Quan-Yang Duh, MD, FACS, San Francisco, CA - No Disclosures
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - No Disclosures
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - No Disclosures
Valerie W. Rusch, MD, FACS, New York, NY - No Disclosures
Note: Residents will receive a Certificate of Completion.
- 1.50 AMA PRA Category 1 Credit™
- 1.50 Certificate of Completion
- 1.50 Self Assessment Credit