Axillary ultrasound scanning in the follow-up of breast cancer patients undergoing sentinel node biopsy

被引：10
|
作者：
Susini, Tommaso [1 ]
Nori, Jacopo [2 ]
Vanzi, Ermanno [2 ]
Livi, Lorenzo [3 ]
Pecchioni, Silvia
Bazzocchi, Massimo [4 ]
Mangialavori, Giuseppe [5 ]
Branconi, Francesco
Scarselli, Gianfranco
机构：
[1] Univ Florence, Dept Gynecol Perinatot & Reprod Med, Senol Unit, I-50134 Florence, Italy
[2] Univ Careggi, Diag Senol Unit, Azienda Osped, Florence, Italy
[3] Univ Florence, Dept Oncol, Radiotherapy Unit, I-50134 Florence, Italy
[4] Univ Udine, Dept Radiol, I-33100 Udine, Italy
[5] Hosp F Tappeiner, Radiol Unit, Merano, Italy
来源：
BREAST | 2007年 / 16卷 / 02期
关键词：
breast cancer; axillary lymph nodes; recurrence; sentinel node biopsy; core biopsy; follow-up;
D O I：
10.1016/j.breast.2006.10.004
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
In breast cancer patients with negative sentinel node biopsy (SNB), surveillance of the unremoved nodes is recommended. Clinical examination has poor sensitivity. The aim of this study was to evaluate the role of axillary ultrasound scan (AUS) in the follow-up of these patients. AUS was performed every 12 months in a series of 165 patients with negative SNB. During the follow-up (median 45.6 months), in 154 patients, the AUS was carried out as a routine examination and in three cases (1.9%) it showed suspicious nodes, which underwent core biopsy. No evidence of axillary recurrence was found. Conversely, in 11 patients, AUS was performed to clarify a palpable lymphadenopathy; none of them was suspicious at US. We conclude that routine AUS to follow-up patients who have had a negative SNB is unnecessary. However, AUS may be useful in the presence of palpable nodes, to select those patients who do not require biopsy. (C) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码：190 / 196
页数：7
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