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During a sentinel lymph node biopsy, a surgeon injects a tracer dye or radioactive substance close to the tumor, follows it to the first node it reaches, and removes that node for testing. When breast cancer spreads, axillary lymph nodes are its commonest first destination. 10 or more axillary lymph nodes have cancer (at least one group of cancer cells is bigger than 2 mm) OR Inner mammary nodes have most cancers seen on a mammogram or different imaging plus 1 or extra axillary lymph nodes have most cancers OR
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