What if the surgeon does not identify all the sentinel nodes?
If a patient has only her sentinel nodes removed, there is a small risk (3 out of 100 cases ) that cancer cells may be present in the other nodes in the armpit. If these lymph nodes are not identified as sentinel nodes, they would not be removed and could potentially be a source of cancer re-growth in the armpit. If re-growth occurs, it is recommended that all of the lymph nodes in the armpit be removed.