Abstract
Introduction: Recent years have seen dramatic shifts, based largely on the ACOSOG Z0011 study, to conservative management of the axilla in patients with a positive sentinel lymph node. However, positive pre-operative ultrasound guided axillary fine needle aspiration cytology (FNAC) may represent higher axillary disease burden. The aims of this study were to quantify nodal burden in patients with positive pre-operative axillary FNAC and identify patients who may have been spared axillary clearance (AC) based on Z11 criteria.
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