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Sentinel lymph node biopsy (SLNB), is considered to be the standard of care for node negative breast cancer, as it can save patients from the complications of axillary lymph node dissection (ALND). These complications include lymphedema, arm stiffness, and neuralgia, all of which significantly affect the patient's quality of life and raise healthcare costs. It also allows accurate axillary staging with minimal morbidity. In patients undergoing breast conserving surgery and whole breast irradiation, it is now even acceptable to omit axillary dissection, if one to two lymph nodes (LNs) are found to be positive on SLNB [1-4].

Neoadjuvant Therapy Should Be the Standard of Care for Every Node Positive Breast Cancer Patient