What is the current criteria for sentinel node biopsy over a full axillary lymph node dissection in a patient with breast cancer?

Topics: Breast Cancer • Radiation Oncology

What are the current criteria in 2023 for selection to complete sentinel node biopsy or skipping of sentinel node biopsy specific to age, grade, clinical/imaging size, and imaging of axilla in the newly diagnosed breast cancer patient?

Answer from: Radiation Oncologist at Academic Institution

This is a rapidly evolving space.For patients that cN0 with 1-2 or 3 SLN+, ALND can be omitted without gross ECE. Also, the NCCN guidelines have allowed for a similar approach with patients with 2 or fewer nodes on imaging/biopsy. While most patients on AMAROS/Z011 had breast conservation, this appr...

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Radiation Oncologist at West Virginia University
I thought the ACOSOG disqualified patients with an...

Radiation Oncologist at Cleveland Clinic
It's a good question: AMAROS did not asse...

Answer from: Radiation Oncologist at Community Practice

This is a great question, but because of the efficacy and reliability of SLNBs, it may be more appropriate to think along the lines of: “When should I NOT get an SLNB?”I wish I could copy and paste a table I created, but you’ll have to view the PDF here under “SLN and Axillar...

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Radiation Oncologist at University of Texas Health Science Center San Antonio MD Anderson Mays Cancer Center
Your PDF is very helpful - have been sharing with ...

Radiation Oncologist at Memorialcare Saddleback Medical Center
Wonderful! I hope they find it useful =).

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