Axillary Ultrasound Assessment in Primary Breast Cancer: An Audit of 653 Cases
- 6 July 2010
- journal article
- Published by Hindawi Limited in The Breast Journal
- Vol. 16 (5), 460-463
- https://doi.org/10.1111/j.1524-4741.2010.00952.x
Abstract
Axillary lymph node status is an important factor in determining the prognosis and treatment in patients with invasive breast cancer. The introduction of the sentinel lymph node biopsy technique in the axilla has significantly reduced the number of patients requiring an axillary clearance procedure. However, a proportion of patients will be found to have axillary metastases after a sentinel node biopsy and will then require a second axillary surgical procedure. A retrospective audit of 653 consecutive patients presenting with invasive breast cancer showed a preoperative diagnosis rate of axillary disease of 23% using axillary ultrasound and fine‐needle aspiration (FNA) together. We performed 232 axillary FNAs to diagnose 150 positive axillae. This avoided the need for a second operation in 150 women. The negative predictive value for axillary metastases using this technique was 79%. Overall accuracy was 84%.Keywords
This publication has 20 references indexed in Scilit:
- Reasons for failure to identify positive sentinel nodes in breast cancer patients with significant nodal involvementEuropean Journal of Surgical Oncology, 2006
- Role of Sonography in the Diagnosis of Axillary Lymph Node Metastases in Breast Cancer: A Systematic ReviewAmerican Journal of Roentgenology, 2006
- Role of ultrasound-guided core needle biopsy of axillary lymph nodes in the initial staging of breast carcinomaEuropean Journal of Radiology, 2005
- Gray scale and power Doppler US in the preoperative evaluation of axillary metastases in breast cancer patients with no palpable lymph nodesEuropean Radiology, 2005
- Utility of axillary ultrasound examination to select breast cancer patients suited for optimal sentinel node biopsyThe American Journal of Surgery, 2004
- Envahissement du ganglion sentinelle dans les cancers mammaires T0–T1Annales de Chirurgie, 2001
- Benign and Malignant Breast Masses and Axillary Nodes: Evaluation with Echo-enhanced Color Power Doppler USRadiology, 2001
- Intradermal Isotope Injection: A Highly Accurate Method of Lymphatic Mapping in Breast CarcinomaAnnals of Surgical Oncology, 2001
- High resolution sonographic detection of axillary lymph node metastases in breast cancer.Journal of Ultrasound in Medicine, 1996
- Relation of number of positive axillary nodes to the prognosis of patients with primary breast cancer. An NSABP updateCancer, 1983