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

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...

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 Axillary Analysis.”

To answer yo...