Axillary ultrasonography for early-stage invasive breast cancer

被引：2

作者：

Jiang, Karen ^{[1
]}

Ma, Crystal ^{[1
]}

Yang, Yuwei ^{[3
]}

Mckevitt, Elaine ^{[2
,3
]}

Pao, Jin-Si ^{[2
,3
]}

Warburton, Rebecca ^{[2
,3
]}

Dingee, Carol ^{[2
,3
]}

Bremang, Jieun Newman- ^{[2
,3
]}

Deban, Melina ^{[2
,3
]}

Bazzarelli, Amy ^{[2
,3
]}

机构：

[1] Univ British Columbia, Fac Med, 317-2194 Hlth Sci Mall, Vancouver, BC V6T 1Z3, Canada

[2] Mt St Joseph Hosp, Providence Breast Ctr, 3080 Prince Edward St, Vancouver, BC V5T 3N4, Canada

[3] Univ British Columbia, Fac Med, Dept Surg, Div Gen Surg, 2775 Laurel St, 11th Floor, Vancouver, BC V5Z 1M9, Canada

来源：

AMERICAN JOURNAL OF SURGERY | 2024年 / 231卷

关键词：

Early invasive breast cancer; Axillary ultrasonography; Sentinel lymph node biopsy; Axillary lymph node dissection; LYMPH-NODE BIOPSY; SENTINEL-NODE; PREOPERATIVE ULTRASOUND; DISSECTION; MANAGEMENT; WOMEN; TRIAL; OVERTREATMENT; MULTICENTER; METASTASIS;

D O I：

10.1016/j.amjsurg.2024.03.011

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Among women with early invasive breast cancer and 1 -2 positive sentinel nodes, sentinel lymph node biopsy (SLNB) is non -inferior to axillary lymph node dissection (ALND). 1-3 However, preoperative axillary ultrasonography (AxUS) may not be sensitive enough to discriminate burden of nodal metastasis in these patients, potentially leading to overtreatment. (4-6) This study compares axillary operation rates in patients who did and did not receive preoperative AxUS, assessing its utility and risks for overtreatment. Methods: This is a retrospective cohort study of patients with clinical T1/T2 breast tumors who were clinically node negative and underwent an axillary operation. Results: Patients who had preoperative AxUS received more ALND compared to patients who did not (5.6% vs. 1.4%, p < 0.001). There was no signi ficant difference in the number of additional axillary operations following SLNB (2.1% vs. 2.3%, p 1 / 4 0.77). Conclusion: Eliminating preoperative AxUS is associated with fewer invasive ALND procedures, without increased rate of axillary reoperations.

引用

页码：86 / 90

页数：5

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