The Breast Journal

Predictors to Assess Non-Sentinel Lymph Node Status in Breast Cancer Patients with Sentinel Lymph Node Metastasis
Hiromitsu Jinno, Michio Sakata, Sota Asaga, Masahiro Wada, Toshiyuki Shimada, Yuko Kitagawa, Takayuki Suzuki, Tadaki Nakahara, Naoto Kitamura, Atsushi Kubo, Makio Mukai, Tadashi Ikeda, Masaki Kitajima
The Breast Journal, Volume 14 Number 6, 2008 551–555

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Lymphatic invasion of the primary tumor and the number of tumor-involved sentinel lymph nodes (SLN) were significantly correlated with non-SLN metastasis. These 2 factors could be used together to select a sub-group of patients who may not benefit from complete ALND despite a positive SLNB