- August 4, 2010 at 6:53 pm
My understanding is that SNB is warranted when Breslow is 1.0 mm or greater. At 1.6 (at least) I would expect your surgeon to offer it without you even needing to advocate for it. As for the question about skipping the SNB and just doing a full lymph node dissection on the assumption there will be positive nodes, I don't know. You should ask the surgeon that very question.
Good luck~let us know how things shake out.