Axillary ultrasound assessment in primary breast cancer: an audit of 653 cases

The Breast Journal
Pippa MillsPeter Jones

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%.

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Citations

Feb 25, 2014·Revista española de medicina nuclear e imagen molecular·Luis Bañuelos AndríoMercedes Mitjavilla Casanova
Feb 2, 2013·American Journal of Surgery·Mary YamashitaStephen F Sener
Jun 22, 2012·The Breast : Official Journal of the European Society of Mastology·M W H LeendersW H Schreurs
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Aug 2, 2017·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Seung Ah LeeSeung Il Kim
Oct 31, 2013·Annals of Surgery·Tetsuji Fujita
Dec 3, 2020·Ultrasound in Medicine & Biology·Yuji YamashitaHideko Yamauchi
Dec 19, 2020·European Journal of Radiology·Fabian RiedelJoerg Heil

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