Review Article

Sentinel Node Biopsy Alone versus Completion Axillary Node Dissection in Node Positive Breast Cancer: Systematic Review and Meta-Analysis

Table 3

Summary of differences in outcomes of SLND alone versus ALND.

StudyOverall survival Disease free survivalLocal recurrence rateSurgical morbidities

Giuliano et al. [12]No difference;
92.5% versus 91.8%;
No difference;
83.9% versus 82.2; %
No difference;
1.6% versus 3.1%;
Benefit;
25% versus 70%;
; 
worse in ALND group

Solá et al. [15]Not assessedNo difference;
98.2%
Log rank test;
No difference;
1.7% versus 1%;
Not assessed

Galimberti et al. [17]No difference;
97.5% versus 97.6%; Log Rank
No difference;
87.8% versus 84.4%; Log Rank
No difference;
low in SLNB <1%
Benefit;
Sensory neuropathy, 12% versus 18%, —0.012; motor neuropathy, 3% versus 8%, ; Lymphoedema, 3% versus 13%; ; 
worse in ALND group