USE OF AXILLARY ULTRASOUND, ULTRASOUND-FINE NEEDLE ASPIRATION BIOPSY AND MAGNETIC RESONANCE IMAGING IN THE PREOPERATIVE TRIAGE OF BREAST CANCER PATIENTS CONSIDERED FOR SENTINEL NODE BIOPSY

被引：55

作者：

Garcia Fernandez, Antonio ^{[1
]}

Fraile, M. ^{[1
]}

Gimenez, N. ^{[1
]}

Rene, A. ^{[1
]}

Torras, M. ^{[1
]}

Canales, L. ^{[1
]}

Torres, J. ^{[1
]}

Barco, I. ^{[1
]}

Gonzalez, S. ^{[1
]}

Veloso, E. ^{[1
]}

Gonzalez, C. ^{[1
]}

Cirera, L. ^{[1
]}

Pessarrodona, A. ^{[1
]}

机构：

[1] Univ Barcelona, Dept Pathol, Univ Hosp Mutua Terrassa, Res Fdn Mutua Terrassa, Barcelona 08221, Spain

来源：

ULTRASOUND IN MEDICINE AND BIOLOGY | 2011年 / 37卷 / 01期

关键词：

Breast neoplasms; Sensitivity and specificity; Sentinel lymph node biopsy; Axillary ultrasound; Magnetic resonance imaging; Fine-needle aspiration; LYMPH-NODES; METASTASES; ULTRASONOGRAPHY; CARCINOMA; DIAGNOSIS; MORBIDITY; ACCURACY; CYTOLOGY; UTILITY; NUMBER;

D O I：

10.1016/j.ultrasmedbio.2010.10.011

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

We assessed the diagnostic yield of axillary ultrasound, alone or in combination with fine-needle aspiration axillary biopsy and magnetic resonance imaging in patients with invasive breast carcinoma compared with final axillary histology by sentinel node biopsy or by axillary lymph node dissection. From January 2003 to March 2009, 520 axillary ultrasound examinations and 105 axillary magnetic resonance imaging studies were included. Compared with final axillary histology, ultrasound fine-needle aspiration showed positive predictive value of 87%, negative predictive value of 82%, sensitivity of 53% and specificity of 100%. In cases of negative ultrasound, the rate of positive nodes was 17% (micro-metastases excluded). Ultrasound examination of the axilla, combined with fine-needle aspiration as appropriate must be included in the preoperative work-up of patients considered for sentinel node biopsy to definitively establish such an indication while minimizing the risk of false-negative sentinel node. Axillary magnetic resonance imaging did not improve the preoperative work-up. (E-mail: agarcia@mutuaterrassa.es) (C) 2011 World Federation for Ultrasound in Medicine & Biology.

引用

页码：16 / 22

页数：7

共 27 条

[1] Axillary Lymph Nodes Suspicious for Breast Cancer Metastasis: Sampling with US-guided 14-Gauge Core-Needle Biopsy-Clinical Experience in 100 Patients [J].