Highlights ■ De-escalation of axillary surgery has become a priority in  breast cancer treatment. ■ Factors associated with the decision to omit sentinel lymph node biopsy were collected via questionnaire. ■ Sentinel lymph node biopsy was omitted more often by  private doctors and those holding a doctoral degree. ■ Continuing medical education initiatives are needed to update other groups. ABSTRACT Objective: Considering the increasing number of new breast cancer cases and the morbidity associated with axillary lymph node dissection in […]