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If you look at the literature, a lot of studies note that microscopic ECE does not necessitate axillary dissection (Gooch J et al. Ann Surg Oncol. Sept 2014). However, 1.6 cm of ECE sounds like it could have been gross ECE. If additional nodes would ...

55 yo underwent lumpectomy and SLN. Final pathology showed a grade 1, 9 mm, invasive lobular carcinoma. SLN 1 out of 1 positive 1.6 cm node with extranodal extension. She had a pre op MRI, that did not show any suspicious nodes or other areas in the breast. ...

We have a high risk clinic where a NP sees the new 'high risk' patients, folllows them longitudinally and then refers them to genetics, radiology for enhanced imaging, med onc for risk reduction and ultimately breast surgery for risk reduction or surgical ...