How do you choose between ALND and RNI in the setting of LYMPHA or S-Lympha surgery?

The addition of microsurgical reconstruction with procedures such as LYMPHA, etc, has not necessarily changed the choice or clinical indications/scenarios for when ALND is done for a patient.

However, I would say that if ALND is expected or planned for a patient, our breast surgical oncologists will get the Plastic surgeons that are experienced in microsurgical reconstruction involved in the case so as to evaluate the feasibility of doing such a procedure for that patient, and if determined to b...