“…In another study from our institute, the breast pathologists re-analysed the SNs histopathological findings from a part of the present patient population, and found only a very low rate of false-positive ITC findings. 32 Most of the patients with ITC-positive cancer underwent a completion ALND, and patients with micrometastases or macrometastases in the non-sentinel nodes could be excluded from the study. Therefore, the ITC-positive patients in this study truly had pN0i+ cancer, a patient population that may currently be difficult to identify, since at present patients with ITC-positive cancer often do not undergo ALND.…”