Completion lymphadenectomy following positive sentinel node biopsy may not be justified in early stage breast cancer

While SLNB accurately predicts nodal basin status, the incidence of nodal metastases in patients with early stage Tl cancers at ALND following a positive SLNB is 8%. The data suggest that patients with early stage breast cancer may not require completion lymphadenectomy, regardless of SLN positivity.