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Body composition and ectopic lipid changes with biochemical control of acromegaly

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Although results from the ACOSOG Z0011 trial have shown that ALND has no benefit to patients with 1 to 2 positive SLNs, in our setup, we did standard ALND for all our patients due to the unavailability of frozen section examination and the long waiting line for adjuvant chest wall and axillary radiation therapy