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      Predicting non-sentinel lymph node metastasis in Australian breast cancer patients: are the nomograms still useful in the post-Z0011 era?

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          Abstract

          Axillary lymph node dissection (ALND) can be avoided in breast cancer patients with low-volume disease in the sentinel lymph nodes (SLNs) according to Z0011 trial. We believe that nomograms developed for predicting non-sentinel lymph node (NSLN) metastases can guide the axillary treatment in patients who do not fully match the criteria of Z0011 study. We identified risk factors and evaluated the performance of three nomograms to predict NSLN status in patients with positive SLNs.

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          Author and article information

          Journal
          ANZ J Surg
          ANZ journal of surgery
          Wiley
          1445-2197
          1445-1433
          June 2019
          : 89
          : 6
          Affiliations
          [1 ] Department of Breast Surgery, Royal Prince Alfred Hospital and Chris O'Brien Lifehouse, Sydney, New South Wales, Australia.
          [2 ] General Surgery Unit, Calvary Hospital, Canberra, Australian Capital Territory, Australia.
          Article
          10.1111/ans.15173
          31066184
          b988841c-fabf-4a60-9193-4e2564c07ac3
          © 2019 Royal Australasian College of Surgeons.
          History

          breast cancer,external validation,nomogram,non-sentinel lymph node metastasis,sentinel lymph node biopsy

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