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General Surgery · Breast surgery: sentinel node
Sample itemWhat is the main purpose of sentinel lymph-node biopsy in clinically node-negative breast cancer?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. To stage the axilla with less morbidity
The sentinel node is the first draining node; if negative, many patients avoid full axillary dissection and its lymphedema risk.
Option by option
A. To treat mastitis
Mastitis is treated medically.
B. To stage the axilla with less morbidity (correct)
Correct. It provides nodal staging while reducing morbidity.
C. To replace excision of the primary tumour
Primary-tumour treatment remains necessary.
D. To screen the opposite breast
It does not screen the contralateral breast.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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