MUltimodal Targeted Axillary Surgery

Before surgery, all patients will be explored with a pre-defined systematic and reproducible axillary ultrasound imaging workflow intending to establish the number of neoplastic lymph nodes.

Sentinel nodes will be identified with a radioisotope tracer and blue dye or fluorescein.

Nodes suspected to be infiltrated both by physical exploration and/or ultrasound will be excised and evaluated separately.

Axillary node clearance will be performed in two steps comprising inferior and superior clearance. The second intercostobrachial nerve will be considered the limit defining the border between superior and inferior axilla.