What are the ASCO guidelines for the use of axillary lymph node dissection (ALND) in the treatment of breast cancer?

Updated: Sep 23, 2020
  • Author: Pavani Chalasani, MD, MPH; Chief Editor: John V Kiluk, MD, FACS  more...
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ASCO recommendations regarding ALND in patients who have undergone SLNB are as follows:

  • ALND should not be performed in women with no sentinel lymph node (SLN) metastases

  • In most cases, ALND should not be performed in women with one to two metastatic SLNs who are planning to undergo breast-conserving surgery with whole-breast radiotherapy

  • ALND should be offered to women with SLN metastases who will be undergoing mastectomy

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