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

Updated: Feb 04, 2021
  • Author: Pavani Chalasani, MD, MPH; Chief Editor: John V Kiluk, MD, FACS  more...
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The NCCN breast cancer guidelines state that lymph node dissection is optional in the following cases [75] :

  • 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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