What typically follows a positive sentinel node biopsy?

• A. Removal of the rest of the axillary lymph nodes
• B. Immediate reconstruction surgery
• C. Radiation therapy
• D. Chemotherapy administration

Answer: (A)

A positive sentinel node biopsy indicates that there are cancer cells present in the sentinel lymph nodes, which are the first nodes to which cancer is most likely to spread from the primary tumor. The typical next step after confirming a positive result is to remove the remaining lymph nodes in the axilla, known as axillary lymph node dissection.

This procedure aims to ensure that any additional cancerous nodes are removed, minimizing the risk of metastasis and recurrence. In cases where the sentinel nodes test positive, further evaluation and treatment may be necessary to provide comprehensive care for the patient.

While other treatment options such as radiation therapy or chemotherapy may be considered based on the overall staging and specifics of the cancer, the immediate surgical response to a positive sentinel node biopsy is focused on addressing the potential spread of cancer through lymphatic pathways, which is why the removal of the remaining axillary lymph nodes is the standard course of action.