MDCalc

Additional Nodal Metastasis Nomogram

Predicts likelihood of breast cancer with sentinel lymph node metastasis has also spread to additional lymph nodes.

Nuclear Grade
Lymphovascular Invasion (LVI)
Multifocal
Estrogen Receptor (ER) Status
cm

Method of detection of SLN metastases

Result:

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Advice

Use results with multidisciplinary input to determine appropriate axillary management, which may include:

  • Adjuvant chemotherapy.
  • Regional radiotherapy.
  • Targeted axillary dissection.
  • Axillary lymph node dissection.

Please review your local medical society guidelines for additional management recommendations, such as the American Society of Breast Surgeons and the National Comprehensive Cancer Network.