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Group 1 consisted of patients with positive lymph node metastasis and extranodal tumor invasion; Group 2 consisted of patients with positive axillary lymph node metastasis and negative extranodal tumor invasion and Group 3 consisted of the patients with negative axillary lymph node metastasis.
In our study, 28.6% (10/35) of all SN metastases were micrometastases, six of them had delayed ALND (early years of the study) which revealed negative axillary lymph nodes, the other four (later years of the study) had no further axillary treatment.
Histologic grade has also been found to be useful predictor of prognosis in patients with different stages of disease especially among those with negative axillary lymph nodes. for these reasons, accurate grading of invasive breast carcinoma is extremely important and our cases have been graded according to the Scarff-Bloom-Richardson grading system which measures three parameters i.e.
Breast conservation in elderly women for clinically negative axillary lymph nodes without axillary dissection.
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