Axillary Staging

Sentinel node biopsy recommendations, although individually tailored to the presenting disease, have not changed for our center but the frozen section at the time of sentinel node biopsy is no longer routine. If the patient is found to have positive nodes on permanent path then they may or may not undergo a completion node dissection if no more than two nodes are positive. The decision to “go back” is a joint decision between breast team (medical, surgical, radiation oncology) and the patient. Sentinel node biopsy recommendations, although individually tailored to the presenting disease, have not changed for our center but the frozen section at the time of sentinel node biopsy is no longer routine. If the patient is found to have positive nodes on permanent path then they may or may not undergo a completion node dissection if no more than two nodes are positive. The decision to “go back” is a joint decision between breast team (medical, surgical, radiation oncology) and the patient.