Management of the Axilla in Early-Stage Breast Cancer

Publication Date: July 19, 2021
Last Updated: September 2, 2022

Management


I. Staging

For patients ≥70 years of age with clinically node-negative (T1N0) early-stage invasive breast cancer that is hormone receptor positive and HER2 negative, sentinel lymph node bioposy (SLNB) is NOT required.

( IC , Ins , B , M )

This is supported by the Choosing Wisely statement released on July 12, 2016, and updated on June 20, 2019 by the Society of Surgical Oncology (SSO) available at: http://www.choosingwisely.org/clinician-lists/sso-sentinel-node-biopsy-in-node-negative-women-70-and-over/ that stated: “Don’t routinely use sentinel node biopsy in clinically node negative women ≥70 years of age with early stage hormone receptor positive, HER2 negative invasive breast cancer” if they will be treated with hormonal therapy. If omission of SLNB is considered, a consultation with a medical oncologist can be considered before surgery to discuss hormonal therapy.

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Overview

Title

Management of the Axilla in Early-Stage Breast Cancer

Authoring Organizations