What treatment should follow a failed sentinel lymph node (SLN) mapping of breast cancer?

Updated: Feb 13, 2019
  • Author: Mary Jo Wright, MD; Chief Editor: James Neal Long, MD, FACS  more...
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When SLN mapping is not successful, complete axillary lymph node dissection is recommended. Absolute contraindications for SLN dissection include clinically suspicious axillary nodes, which should be evaluated by ultrasound-guided fine-needle aspiration, and biopsy-proven, node-positive disease.

One study evaluated the accuracy of 4 nomograms in patients with sentinal lymph node–positive breast cancer. [25] The authors found the Memorial Sloan-Kettering Cancer Center nomogram to be more predictive than the other nomograms.

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