USMLE Step 2 Quiz
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SURGERY AND TRAUMA
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A 59-year-old woman has invasive ductal carcinoma treated with lumpectomy and sentinel node biopsy. Pathology shows a 2.8-cm tumor, 1/3 sentinel nodes positive with a small metastasis; she will receive whole-breast radiation. She asks if she needs a full axillary dissection. The surgeon explains that in select patients with limited sentinel node involvement undergoing breast-conserving surgery with radiation, completion axillary dissection may be omitted to reduce lymphedema risk, consistent with modern guideline-based practice.
Which of the following is the most appropriate next step in management for this patient?
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