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Experts evaluated 871 early breast cancer patients with positive sentinel lymph nodes. Among 308 patients undergoing sentinel node biopsy (SNB) alone, the 5-year regional node recurrence rate was 2.7%. After propensity score matching, recurrence rates were similar between SNB and axillary lymph node dissection (ALND) groups. Findings support omitting ALND in patients with limited SLN metastasis, regardless of breast surgery type.

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Experts evaluated 871 early breast cancer patients with positive sentinel lymph nodes. Among 308 patients undergoing sentinel node biopsy (SNB) alone, the 5-year regional node recurrence rate was 2.7%. After propensity score matching, recurrence rates were similar between SNB and axillary lymph node dissection (ALND) groups. Findings support omitting ALND in patients with limited SLN metastasis, regardless of breast surgery type.
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