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Gamma probe and ultrasonographically-guided fine-needle aspiration biopsy of sentinel lymph nodes in breast cancer patients

Aim The purpose of the present study was to evaluate the usefulness of gamma probe and ultrasonographically-guided fine-needle aspiration biopsy (FNAB) in the pre-operative detection of sentinel node (SN) metastasis in breast cancer patients. Methods Sentinel node biopsy (SNB) was performed in patie...

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Published in:European journal of surgical oncology 2001-03, Vol.27 (2), p.141-145
Main Authors: Motomura, K., Inaji, H., Komoike, Y., Kasugai, T., Nagumo, S., Hasegawa, Y., Noguchi, S., Koyama, H.
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cited_by cdi_FETCH-LOGICAL-c434t-2fda11d007631a9a7f4c19e3f74966c7db0e5afc0c51334acb1294f73eb0e9573
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container_end_page 145
container_issue 2
container_start_page 141
container_title European journal of surgical oncology
container_volume 27
creator Motomura, K.
Inaji, H.
Komoike, Y.
Kasugai, T.
Nagumo, S.
Hasegawa, Y.
Noguchi, S.
Koyama, H.
description Aim The purpose of the present study was to evaluate the usefulness of gamma probe and ultrasonographically-guided fine-needle aspiration biopsy (FNAB) in the pre-operative detection of sentinel node (SN) metastasis in breast cancer patients. Methods Sentinel node biopsy (SNB) was performed in patients with stage I or II breast cancer with clinically negative nodes using dye and radio-isotope. Axillas of 60 patients in whom a hot spot was detected by gamma probe were examined by ultrasonography. Pre-operative diagnosis of SN metastasis by gamma probe and ultrasonographically-guided FNAB was compared with the histological results of SN. Results The sensitivity, specificity and overall accuracy of ultrasonography in the diagnosis of SN metastasis were 50.0%, 92.1% and 76.7%, respectively. SNs were visualized by ultrasonography in 29 of 60 patients. Of 14 patients with positive results by ultrasonography, four had positive and two had negative cytology. The combination of ultrasonography and ultrasonographically-guided FNAB for visualized nodes had a sensitivity of 78.5%, specificity of 93.3% and overall accuracy of 86.2%. Blind FNAB in the hot spot was not useful in the detection of SN metastasis in patients whose SNs failed to be detected by ultrasonography. Conclusions Gamma probe and ultrasonographically-guided FNAB is a potentially useful method for pre-operative detection of SN metastasis. In patients with positive SNs, SNB is not indicated and complete axillary lymph-node dissection can be performed as a primary procedure.
doi_str_mv 10.1053/ejso.2000.1059
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Methods Sentinel node biopsy (SNB) was performed in patients with stage I or II breast cancer with clinically negative nodes using dye and radio-isotope. Axillas of 60 patients in whom a hot spot was detected by gamma probe were examined by ultrasonography. Pre-operative diagnosis of SN metastasis by gamma probe and ultrasonographically-guided FNAB was compared with the histological results of SN. Results The sensitivity, specificity and overall accuracy of ultrasonography in the diagnosis of SN metastasis were 50.0%, 92.1% and 76.7%, respectively. SNs were visualized by ultrasonography in 29 of 60 patients. Of 14 patients with positive results by ultrasonography, four had positive and two had negative cytology. The combination of ultrasonography and ultrasonographically-guided FNAB for visualized nodes had a sensitivity of 78.5%, specificity of 93.3% and overall accuracy of 86.2%. Blind FNAB in the hot spot was not useful in the detection of SN metastasis in patients whose SNs failed to be detected by ultrasonography. Conclusions Gamma probe and ultrasonographically-guided FNAB is a potentially useful method for pre-operative detection of SN metastasis. In patients with positive SNs, SNB is not indicated and complete axillary lymph-node dissection can be performed as a primary procedure.</description><identifier>ISSN: 0748-7983</identifier><identifier>EISSN: 1532-2157</identifier><identifier>DOI: 10.1053/ejso.2000.1059</identifier><identifier>PMID: 11289748</identifier><identifier>CODEN: EJSOE7</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Biological and medical sciences ; Biopsy, Needle - methods ; breast cancer ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - pathology ; Endocrine glands. Genital system. Mammary gland ; Female ; fine-needle aspiration biopsy ; gamma probe ; Gamma Rays ; Gynecology. Andrology. Obstetrics ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Lymphatic Metastasis ; Mammary gland diseases ; Medical sciences ; Radionuclide Imaging ; Radionuclide investigations ; Sensitivity and Specificity ; sentinel lymph node ; Sentinel Lymph Node Biopsy - methods ; Tumors ; ultrasonography ; Ultrasonography - methods</subject><ispartof>European journal of surgical oncology, 2001-03, Vol.27 (2), p.141-145</ispartof><rights>2001 Harcourt Publishers Ltd</rights><rights>2001 INIST-CNRS</rights><rights>Copyright Harcourt Publishers Limited.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-2fda11d007631a9a7f4c19e3f74966c7db0e5afc0c51334acb1294f73eb0e9573</citedby><cites>FETCH-LOGICAL-c434t-2fda11d007631a9a7f4c19e3f74966c7db0e5afc0c51334acb1294f73eb0e9573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=956003$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11289748$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Motomura, K.</creatorcontrib><creatorcontrib>Inaji, H.</creatorcontrib><creatorcontrib>Komoike, Y.</creatorcontrib><creatorcontrib>Kasugai, T.</creatorcontrib><creatorcontrib>Nagumo, S.</creatorcontrib><creatorcontrib>Hasegawa, Y.</creatorcontrib><creatorcontrib>Noguchi, S.</creatorcontrib><creatorcontrib>Koyama, H.</creatorcontrib><title>Gamma probe and ultrasonographically-guided fine-needle aspiration biopsy of sentinel lymph nodes in breast cancer patients</title><title>European journal of surgical oncology</title><addtitle>Eur J Surg Oncol</addtitle><description>Aim The purpose of the present study was to evaluate the usefulness of gamma probe and ultrasonographically-guided fine-needle aspiration biopsy (FNAB) in the pre-operative detection of sentinel node (SN) metastasis in breast cancer patients. Methods Sentinel node biopsy (SNB) was performed in patients with stage I or II breast cancer with clinically negative nodes using dye and radio-isotope. Axillas of 60 patients in whom a hot spot was detected by gamma probe were examined by ultrasonography. Pre-operative diagnosis of SN metastasis by gamma probe and ultrasonographically-guided FNAB was compared with the histological results of SN. Results The sensitivity, specificity and overall accuracy of ultrasonography in the diagnosis of SN metastasis were 50.0%, 92.1% and 76.7%, respectively. SNs were visualized by ultrasonography in 29 of 60 patients. Of 14 patients with positive results by ultrasonography, four had positive and two had negative cytology. The combination of ultrasonography and ultrasonographically-guided FNAB for visualized nodes had a sensitivity of 78.5%, specificity of 93.3% and overall accuracy of 86.2%. Blind FNAB in the hot spot was not useful in the detection of SN metastasis in patients whose SNs failed to be detected by ultrasonography. Conclusions Gamma probe and ultrasonographically-guided FNAB is a potentially useful method for pre-operative detection of SN metastasis. In patients with positive SNs, SNB is not indicated and complete axillary lymph-node dissection can be performed as a primary procedure.</description><subject>Biological and medical sciences</subject><subject>Biopsy, Needle - methods</subject><subject>breast cancer</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - pathology</subject><subject>Endocrine glands. Genital system. Mammary gland</subject><subject>Female</subject><subject>fine-needle aspiration biopsy</subject><subject>gamma probe</subject><subject>Gamma Rays</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lymphatic Metastasis</subject><subject>Mammary gland diseases</subject><subject>Medical sciences</subject><subject>Radionuclide Imaging</subject><subject>Radionuclide investigations</subject><subject>Sensitivity and Specificity</subject><subject>sentinel lymph node</subject><subject>Sentinel Lymph Node Biopsy - methods</subject><subject>Tumors</subject><subject>ultrasonography</subject><subject>Ultrasonography - methods</subject><issn>0748-7983</issn><issn>1532-2157</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNp10EFrFDEUwPEgFrtWrx4lIPQ2azKZ2WyOUrQKBS_2HN4kL21KZjLmzQiLX95sd9GTp_DILyH5M_ZOiq0UvfqIT5S3rRDPo3nBNrJXbdPKXr9kG6G7faPNXl2y10RPVRmlzSt2KWW7N3Vzw37fwjgCn0sekMPk-ZqWApSn_FBgfowOUjo0D2v06HmIEzYTok_V0hwLLDFPfIh5pgPPgRNOSzWJp8M4P_IpeyQeqygItHAHk8PC53qsQnrDLgIkwrfn9Yrdf_n84-Zrc_f99tvNp7vGdapbmjZ4kNILoXdKggEdOicNqqA7s9s57QeBPQQnXC-V6sANsjVd0Arrhum1umLXp3vrL3-uSIsdIzlMCSbMK1mthZK96CrcnqArmahgsHOJI5SDlcIec9tjbnvMfRxNPfD-fPM6jOj_8XPfCj6cAVBNGUotEOmvM_1OCFXV_qSwVvgVsVhytZBDHwu6xfoc__eCP3cxng4</recordid><startdate>20010301</startdate><enddate>20010301</enddate><creator>Motomura, K.</creator><creator>Inaji, H.</creator><creator>Komoike, Y.</creator><creator>Kasugai, T.</creator><creator>Nagumo, S.</creator><creator>Hasegawa, Y.</creator><creator>Noguchi, S.</creator><creator>Koyama, H.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010301</creationdate><title>Gamma probe and ultrasonographically-guided fine-needle aspiration biopsy of sentinel lymph nodes in breast cancer patients</title><author>Motomura, K. ; Inaji, H. ; Komoike, Y. ; Kasugai, T. ; Nagumo, S. ; Hasegawa, Y. ; Noguchi, S. ; Koyama, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-2fda11d007631a9a7f4c19e3f74966c7db0e5afc0c51334acb1294f73eb0e9573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Biological and medical sciences</topic><topic>Biopsy, Needle - methods</topic><topic>breast cancer</topic><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Neoplasms - pathology</topic><topic>Endocrine glands. Genital system. Mammary gland</topic><topic>Female</topic><topic>fine-needle aspiration biopsy</topic><topic>gamma probe</topic><topic>Gamma Rays</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lymphatic Metastasis</topic><topic>Mammary gland diseases</topic><topic>Medical sciences</topic><topic>Radionuclide Imaging</topic><topic>Radionuclide investigations</topic><topic>Sensitivity and Specificity</topic><topic>sentinel lymph node</topic><topic>Sentinel Lymph Node Biopsy - methods</topic><topic>Tumors</topic><topic>ultrasonography</topic><topic>Ultrasonography - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Motomura, K.</creatorcontrib><creatorcontrib>Inaji, H.</creatorcontrib><creatorcontrib>Komoike, Y.</creatorcontrib><creatorcontrib>Kasugai, T.</creatorcontrib><creatorcontrib>Nagumo, S.</creatorcontrib><creatorcontrib>Hasegawa, Y.</creatorcontrib><creatorcontrib>Noguchi, S.</creatorcontrib><creatorcontrib>Koyama, H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Motomura, K.</au><au>Inaji, H.</au><au>Komoike, Y.</au><au>Kasugai, T.</au><au>Nagumo, S.</au><au>Hasegawa, Y.</au><au>Noguchi, S.</au><au>Koyama, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gamma probe and ultrasonographically-guided fine-needle aspiration biopsy of sentinel lymph nodes in breast cancer patients</atitle><jtitle>European journal of surgical oncology</jtitle><addtitle>Eur J Surg Oncol</addtitle><date>2001-03-01</date><risdate>2001</risdate><volume>27</volume><issue>2</issue><spage>141</spage><epage>145</epage><pages>141-145</pages><issn>0748-7983</issn><eissn>1532-2157</eissn><coden>EJSOE7</coden><abstract>Aim The purpose of the present study was to evaluate the usefulness of gamma probe and ultrasonographically-guided fine-needle aspiration biopsy (FNAB) in the pre-operative detection of sentinel node (SN) metastasis in breast cancer patients. Methods Sentinel node biopsy (SNB) was performed in patients with stage I or II breast cancer with clinically negative nodes using dye and radio-isotope. Axillas of 60 patients in whom a hot spot was detected by gamma probe were examined by ultrasonography. Pre-operative diagnosis of SN metastasis by gamma probe and ultrasonographically-guided FNAB was compared with the histological results of SN. Results The sensitivity, specificity and overall accuracy of ultrasonography in the diagnosis of SN metastasis were 50.0%, 92.1% and 76.7%, respectively. SNs were visualized by ultrasonography in 29 of 60 patients. Of 14 patients with positive results by ultrasonography, four had positive and two had negative cytology. The combination of ultrasonography and ultrasonographically-guided FNAB for visualized nodes had a sensitivity of 78.5%, specificity of 93.3% and overall accuracy of 86.2%. Blind FNAB in the hot spot was not useful in the detection of SN metastasis in patients whose SNs failed to be detected by ultrasonography. Conclusions Gamma probe and ultrasonographically-guided FNAB is a potentially useful method for pre-operative detection of SN metastasis. In patients with positive SNs, SNB is not indicated and complete axillary lymph-node dissection can be performed as a primary procedure.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>11289748</pmid><doi>10.1053/ejso.2000.1059</doi><tpages>5</tpages></addata></record>
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subjects Biological and medical sciences
Biopsy, Needle - methods
breast cancer
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Endocrine glands. Genital system. Mammary gland
Female
fine-needle aspiration biopsy
gamma probe
Gamma Rays
Gynecology. Andrology. Obstetrics
Humans
Investigative techniques, diagnostic techniques (general aspects)
Lymphatic Metastasis
Mammary gland diseases
Medical sciences
Radionuclide Imaging
Radionuclide investigations
Sensitivity and Specificity
sentinel lymph node
Sentinel Lymph Node Biopsy - methods
Tumors
ultrasonography
Ultrasonography - methods
title Gamma probe and ultrasonographically-guided fine-needle aspiration biopsy of sentinel lymph nodes in breast cancer patients
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