778 / 1816
©
AGO e. V.
in der DGGG e.V.
sowie
in der DKG e.V.
Guidelines Breast
Version 2016.1
www.ago-online.deAxillary Intervention Before or After NACT
SLNB before or after NACT in cN0
SLNB before NACT
SLNB after NACT
2b
2b
B
B
+
+
Further surgical procedures depending on SLNB status
cN-Status
(before NST)
pN-Status
(before NST)
cN-Status
(after NST)
Surgical
Procedure
(after NST)
cN0
pN0(sn)
-
nihil
1a A +
cN0
pN+(sn)
(analog ACOSOG Z0011)
ycN0
nihil
Re-SLNB alone
ALND
3
2b
3
B
B
B
+/-
-
+/-
cN0
pN+(sn)
(not analog ACOSOG Z0011)
ycN0
Re-SLNB alone
ALND
Axilla XRT
2b
2b
2b
B
B
B
-
+
+
cN0
not done
ycN0
ypN0 (sn)
SLNB alone
ALND
2b
2b
B
B
+/-
+/-
ypN+ (sn)
ALND
2b B +
cN+
cN+
(CNB/FNA + clip placement)
ycN0
ycN+
SLNB alone*
ALND
ALND
2b
2b
2b
B
B
B
+/-
+
++
Oxford / AGO
LoE / GR
* Analogue ACOSOGZ1071