Surgery>>>>>Breast
Question 17#

Patients not suitable for sentinel lymph node (SLN) biopsy include all of the following EXCEPT:

A. Inflammatory carcinoma of the breast
B. Prior axillary surgery
C. Biopsy-proven distant metastases
D. Lower inner quadrant of breast primary carcinoma

Correct Answer is D

Comment:

Clinical situations where sentinel lymph node (SLN) dissection is not recommended include patients with inflammatory breast cancers, those with palpable axillary lymphadenopathy and biopsy-proven metastasis, DCIS without mastectomy, or prior axillary surgery. Although limited data are available, SLN dissection appears to be safe in pregnancy when performed with radioisotope alone.