Z0011ACOSOG ALND Omission Eligibility
Clinical Criteria Checklist
Clinical pearl
The Z0011 trial demonstrated that for women meeting these specific criteria, addition of ALND did not improve 10-year overall survival or regional recurrence-free survival, but did significantly increase morbidity (lymphedema).
Guidelines & Evidence
Verified
Last Review: 2026
Last Comprehensive Review: 2026
