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ASCO Updates Guidelines for Sentinel Node Biopsy in Early Breast Cancer — Physician’s First Watch

Medical News |
March 25, 2014

ASCO Updates Guidelines for Sentinel Node Biopsy in Early Breast Cancer

By Joe Elia

Updated guidelines on sentinel node biopsy in early stage breast cancer are available in the Journal of Clinical Oncology. The American Society of Clinical Oncology last updated these guidelines in 2005.

Among the strong recommendations with high-quality evidence are these:

  • Women without sentinel node metastases should not undergo axillary lymph node dissection; in most cases, neither should those with one or two sentinel metastases planning to undergo breast-conserving surgery with whole-breast radiotherapy.

  • Women with sentinel node metastases who will undergo mastectomy should be offered axillary node dissection.

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