AUTHOR=Duan Hongtao , Zhang Jiawei , Zhang Guanxin , Zhu Xingmeng , Wang Wenjia TITLE=An improved nomogram including elastography for the prediction of non-sentinel lymph node metastasis in breast cancer patients with 1 or 2 sentinel lymph node metastases JOURNAL=Frontiers in Oncology VOLUME=Volume 13 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2023.1196592 DOI=10.3389/fonc.2023.1196592 ISSN=2234-943X ABSTRACT=The aim of this study was to develop a nomogram based on elastography for the prediction of the risk of non-SLN (NSLN) metastasis in early-stage breast cancer patients with 1 or 2 positive SLNs. The enrolled patients were finally enrolled and were assigned to the training cohort (n=82) and the validation cohort (n=36), respectively. In the training cohort, the independent predictors were screened and then were used to conducted the nomogram. The performance of the nomogram was verified. Based on the independent predictors, a nomogram was conducted to predict the risk of the NSLN metastasis. The nomogram showed good performance. This model could be considered as an ancillary tool to help such patients to be selectively exempted from ALND.