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Overall at-risk students is predicted by theoretical models of anxiety and distress targeted with emotional interventions.PURPOSE a general trend is seen towards de-escalation of axillary surgery in customers with cancer of the breast. The goal of this study was to examine this trend in clients treated with neoadjuvant systemic therapy (NST). METHODS customers with cT1-4N0-3 breast cancer treated with NST (2006-2016) were selected through the Netherlands Cancer Registry. Patients were