“…Titipungul et al found mean LNM of 3.2 in breast cases, while Freneaux et al found 47.3% LNM. 23,28 Mean LNM was 1-6 in GIT cases, 0.2 and 45.5% in urinary bladder malignancies, 70 and 58% in oral cancers. 19,20,24,25,29,32 Serial recuts, use of immunohistochemistry, one step nucleic acid amplification (OSNA) and polymerase chain reaction can further aid in detecting minute nodal metastases.…”