Magseed localisation of pathological axillary lymph nodes for targeted axillary dissection

Introduction: Targeted axillary dissection allows less invasive surgery in the node positive axilla. Abnormal nodes are biopsied, marked with a clip, then localised ahead of surgery. We adopted magseeds to localise such nodes, in keeping with our practice for localisation of impalpable breast lesions. Magseed targeted axillary dissection (mTAD) involves retrieving the localised node plus other sentinel nodes identified by standard dual tracer sentinel node biopsy. Here we review our experience of our first 20 months of practice.