Patient has clinically positive axilliary disease defined as suspicious lymphadenopathy by attending surgeon. Patient is pregnant or nursing female . Patient is unable to give informed consent due to psychiatric or other mental disorder. Disease-Related Patients must have a histologic or cytologic confirmed diagnosis of invasive breast cancer. Patients must have evaluable or measurable disease .
Patients can have no active second neoplasm other than cervical carcinoma in situ or skin cancer.
Patients with prior non-breast malignancies are eligible if they are disease free and are deemed at low risk for recurrence by treating physician. Herceptin or other monoclonal antibody therapy. Prior chemotherapy must have been discontinued for at least 4 weeks and patients have recovered from side effect of prior therapy. Patients may have received prior radiotherapy if discontinued for at least 1 week. The only source of evaluable measurable disease should not be located in the irradiated area.