RT Journal Article SR Electronic T1 Axillary Dissection vs. no Axillary Dissection in Breast Cancer Patients With Positive Sentinel Lymph Node: A Single Institution Experience JF In Vivo JO In Vivo FD International Institute of Anticancer Research SP 1941 OP 1947 DO 10.21873/invivo.11689 VO 33 IS 6 A1 RICCARDO ARISIO A1 FULVIO BORELLA A1 MAURO PORPIGLIA A1 ANTONIO DURANDO A1 ROBERTO BELLINO A1 MARIA GRAZIA BAU A1 CORRADO DE SANCTIS A1 SAVERIO DANESE A1 CHIARA BENEDETTO A1 DIONYSSIOS KATSAROS YR 2019 UL http://iv.iiarjournals.org/content/33/6/1941.abstract AB Background/Aim: Axillary surgery of breast cancer patients is undergoing a paradigm shift, as axillary lymph node dissection's (ALND) usefulness is being questioned in the treatment of patients with tumor-positive sentinel lymph node biopsy (SLNB). The aim of this study was to investigate the overall survival (OS) and relapse-free survival (RFS) of patients with positive SLNB treated with ALND or not. Patients and Methods: We investigated 617 consecutive patients with cN0 operable breast cancer with positive SLNB undergoing mastectomy or conservative surgery. A total of 406 patients underwent ALND and 211 were managed expectantly. Results: No significant difference in OS and RFS was found between the two groups. The incidence of loco-regional recurrence in the SLNB-only group and the ALND group was low and not significant. Conclusion: The type of breast cancer surgery and the omission of ALND does not improve OS or RSF rate in cases with metastatic SLN.