Do you routinely perform an axillary ultrasound in women with newly diagnosed breast cancer without palpable axillary nodes?  

The practice has changed a bit with Z11 and AMAROS. For all invasive cancer we do perform sonogram but ifthe nodes are not palpable but only suspicious on ultrasound we don't routinely perform a percutaneus bx. The idea is these patients are still suitable for SLNB and were included in Z11. SLNB wou...