Topics:
Breast Cancer • Breast Surgery
Would you go back and do an axillary lymph node dissection if a sentinel lymph node biopsy showed a single lymph node with extracapsular extension?
i.e. 1/1 node with ECE
Answer from: Radiation Oncologist at Community Practice
For microscopic ECE, would manage with comprehensive RNI but if gross ECE, would favor dissection and then RT.
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Answer from: at Academic Institution
I would agree that omission of axillary dissection for pathologic extranodal extension on sentinel node biopsy for a clinically negative axilla is appropriate based on the Z11 trial. Patients with gross extranodal extension (ie. matted lymph nodes) were excluded from the study but microscopic extran...
Comments
at Virginia Commonwealth University School of Medicine
@Maggie L. DiNome has said it well. Gross ECE...
@Maggie L. DiNome has said it well. Gross ECE...
Medical Oncologist at Kettering Cancer Center
Would you do axillary dissection for a stage IA (p...
Would you do axillary dissection for a stage IA (p...
Radiation Oncologist at Cleveland Clinic
Sounds like microscopic ECE, in which case I would...
Sounds like microscopic ECE, in which case I would...
Medical Oncologist at Kettering Cancer Center
Thanks for your input Dr. @Chirag S. Shah!
Thanks for your input Dr. @Chirag S. Shah!
Answer from: Radiation Oncologist at Academic Institution
AMAROS and OTOASOR both allowed microscopic ECE - so that is not an indication to exclude patients from axillary RT and subject these patients to the morbidity of AND.