Would you do ALND for low ER pos (1-10%), Her2 + patient with positive sentinel lymph nodes?
Can you apply the ACOSOG Z0011 study to women who have HER2 positive disease?
Answer from: Medical Oncologist at Academic Institution
The question whether an axillary lymph node dissection is therapeutic or diagnostic has not been completely addressed. Data is supportive that a complete lymph node dissection is not necessary in a ER+lower risk group of women undergoing a lumpectomy with radiation
For HER2 positive patient...
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