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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Answer

Answer

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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