What preoperative considerations do you have for a patient with T1-2 breast cancer with an intramammary node and an otherwise negative clinical axilla?

It depends on the imaging evaluation of the intramammary node with ultrasound. If the node is suspicious or equivocal, it needs to be biopsied and removed at surgery if it is positive. If the node looks benign or the biopsy is negative, it can be left alone.