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Comment & Response
November 4, 2020

Implications of Omitting Sentinel Lymph Node Biopsy in Patients Older Than 70 Years

Author Affiliations
  • 1Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus
  • 2Department of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus
JAMA Surg. 2021;156(2):199-200. doi:10.1001/jamasurg.2020.5008

To the Editor We read with great interest the article by Wang et al, wherein they reviewed 57 articles pertaining to the 4 low-value breast cancer (BC) operations defined by the Choosing Wisely campaign.1 We commend the authors for presenting opportunities for deimplementation of low-value procedures to reduce health care waste. However, with regards to omission of sentinel lymph node biopsy (SLNB) in elderly patients with stage I, estrogen-receptor positive BC (ER+BC), there are important caveats to consider.

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