Reply to “Implications of abnormal preoperative axillary imaging in the post Z011 era”

We would like to take the opportunity to address a number of points brought up in the accompanying commentary by Drs. Selleck and Senthil. The objective of the paper under discussion is to examine whether the routine practice of axillary imaging is beneficial in selecting patients who will require an axillary lymph node dissection (ALND) when managed according to ACOSOG Z0011 eligibility criteria. The study specifically refers to women presenting with cT1-2N0 invasive breast cancer undergoing breast-conserving surgery.