My wife had a lumpectomy and sentinel node biopsy in late May. The breast tumor was infiltrating ductal carcinoma, less than 1cm, estrgogen neg, her 2 neu +, diploid, grade 2. The tumor in the sentinel node is less than .1cm and confined by the lymph node capsule. Two nodes were taken, the 2nd was unremarkable. Since the sentinel node is positve, she is going to undergo chemo in additon to the radiation. Is there any compelling reason to take out any more lymph nodes? Since chemo is already in the game plan, what good can come from an axillary node disection?