Early-Stage Breast Cancer
Clinicians should NOT recommend axillary lymph node dissection (ALND) for women with early-stage breast cancer:
Clinicians may offer SNB for women who have operable breast cancer who have the following circumstances:
There are insufficient data to change the 2005 recommendation that clinicians should NOT perform SNB for women who have early-stage breast cancer and are in the following circumstances:
b SNB may be offered before or after neoadjuvant chemotherapy (NACT), but the false negative rate is higher afterward, and therefore, the procedure seems less accurate after NACT and may be unacceptably high with known metastatic nodes.
Illustration of Sentinel Nodes
...1. Sentinel Lymph Nodes...