Retrospective preoperative assessment of the axillary lymph nodes in patients with breast cancer and literature review

Aim To evaluate the accuracy of axillary ultrasound, compared with published literature, identify women at low risk for lymph node (LN) involvement, and to determine which clinical, pathological, and imaging findings best predict LN involvement. Material and methods From June 2010 to April 2012, 288...

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Bibliographic Details
Published in:Clinical radiology 2015-09, Vol.70 (9), p.954-959
Main Authors: Saffar, B, Bennett, M, Metcalf, C, Burrows, S
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Axilla - diagnostic imaging
Biopsy, Fine-Needle
Breast Neoplasms - pathology
Carcinoma in Situ - pathology
Female
Humans
Lymphatic Metastasis - diagnostic imaging
Lymphatic Metastasis - pathology
Middle Aged
Neoplasm Invasiveness - pathology
Predictive Value of Tests
Radiology
Retrospective Studies
Sensitivity and Specificity
Ultrasonography
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Summary:Aim To evaluate the accuracy of axillary ultrasound, compared with published literature, identify women at low risk for lymph node (LN) involvement, and to determine which clinical, pathological, and imaging findings best predict LN involvement. Material and methods From June 2010 to April 2012, 288 women with breast lesions that were suspicious of malignancy (category 4) or malignant (category 5) underwent axillary ultrasound examination. A 3 mm LN cortical thickness was used as the threshold to prompt fine-needle aspiration biopsy (FNAB) of the LN. Data were gathered regarding size, site, and grade of the index breast lesion and cortical thickness of the LN. Results Using a cut-off point of 20 mm.
ISSN:0009-9260
1365-229X
DOI:10.1016/j.crad.2015.04.019