What are the NCCN guidelines for axillary lymph node dissection (ALND) in breast cancer?

Updated: Dec 27, 2019
  • Author: Pavani Chalasani, MD, MPH; Chief Editor: John V Kiluk, MD, FACS  more...
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Answer

The NCCN breast cancer guidelines state that lymph node dissection is optional in the following cases [77] :

  • Strongly favorable tumors
  • When no result would affect the choice of adjuvant systemic therapy
  • Elderly patients
  • Patients with comorbid conditions

Also see Breast Cancer Staging for summarized information.


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