Review Article

Issues Related to Sentinel Lymph Node Assessment in the Management of Breast Cancer—What Are Relevant in Pathology Reports?

Table 4

Summary of important aspects of a standard pathology report—this would enable oncologists to make individual decision on management, including completion ALND and adjuvant systemic treatment.

Primary tumor
 Multifocal or multicentric
 In-situ component
 Grade
 Necrosis
 Lymphovascular invasion
 Margin
 Histologic subtype
 Immunohistochemical HER2, ER, PR
 Involvement of nipple or skeletal muscle
 Abnormalities of surrounding breast tissue
NODE
 Volume or size of nodal metastasis
 Location within the node
 Extranodal extension
 Number of involved sentinel node
 Number of involved nonsentinel node
 Total number of sentinel node
 Total number of nodes on axillary dissection, if performed