Clinical impact of the Z0011 trial on axillary surgical management in Australia and New Zealand from the BreastSurgANZ Quality Audit.

23 However, a more recent analysis of the SEER database demonstrated a markedly significant increase in SNLB alone with one or two sentinel lymph node metastases following the publication of Z0011 from 22.4% in 2000 to 81% in 2016. 9 A large Korean cancer registry study demonstrated a decrease in cALND from 76.6% in 2011 to 47.5% in 2018 compared to a similarly designed Dutch registry

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