106 Commerce Street, Suite 105
Lake Mary, FL 32746
TEL: 407.878.7606 • FAX: 407.878.7611
For additional copies, order at GuidelineCentral.com
Copyright © 2017 All rights reserved
ASCOSNB1713
Disclaimer
is pocket card is derived om recommendations in the American Society of Clinical Oncology
Guideline. is resource is a practice tool based on ASCO
®
practice guidelines and is not intended
to substitute for the independent professional judgment of the treating physician. Practice guidelines
do not account for individual variation among patients. is pocket card does not purport to suggest
any particular course of medical treatment. Use of the practice guidelines and this resource are
voluntary. e practice guidelines and additional information are available at www.asco.org/
breast-sentinel-node-biopsy-guideline. Copyright © 2016 by American Society of Clinical Oncology.
All rights reserved.
Abbreviations
ALND, axillary lymph node dissection; BCS, breast-conserving surgery; DCIS, ductal
carcinoma in situ; SLN, sentinel lymph node
Source
Lyman GH, Somerfield MR, Bosserman LD, Perkins CL, Weaver DL, Giuliano AE. Sentinel
Lymph Node Biopsy for Patients With Early-Stage Breast Cancer: American Society of Clinical
Oncolog y Clinical Practice Guideline Update. J Clin Oncol. 2016 Dec 12: JCO2016710947.
[Epub ahead of print]
Recommendation Grading
Type Benefit/harm Evidence Quality
Strength Of
Recommendation
EB Evidence-
based
B Benefits
outweigh harms
H High Strong
CB
Consensus-
based
H Harms outweigh
benefits
I Intermediate Moderate
IC Informal
consensus
B/H Relative balance
of benefits and
harms
L Low Weak
Ins Insufficient
ASCO believes that cancer clinical trials are vital to inform medical decisions and
improve cancer care and that all patients should have the opportunity to participate.
Additional information, which may include data supplements, slide sets, patient
versions, frequently asked questions, and other clinical tools and resources, is available at
www.asco.org/breast-sentinel-node-biopsy-guideline and www.asco.org/guidelineswiki
