Role of Ultrasound and Ultrasound-Guided Fine-Needle Aspiration Cytology for Axillary Lymph Node Evaluation in Breast Cancer Patients: Correlation with Primary Tumor Size and Positive Lymph Node Number

Breast Care ◽  
2012 ◽  
Vol 7 (5) ◽  
pp. 403-406
Author(s):  
Muhammad U. Manzoor ◽  
Usman Bashir ◽  
Abid Irshad ◽  
Imran Yousaf ◽  
Najam Ud Din ◽  
...  
Keyword(s):  
Lymph Node ◽  
Needle Aspiration ◽  
Positive Lymph Node ◽  
Axillary Lymph ◽  
Breast Cancer Patients ◽  
Node Number ◽  
Needle Aspiration Cytology ◽  
Lymph Node Number ◽  
Lymph Node Evaluation

scholarly journals Axillary Ultrasound and Fine-Needle Aspiration Cytology to Predict Clinically Relevant Nodal Burden in Breast Cancer Patients .

2021 ◽  
Author(s):  
Isabela Carlotti ◽  
Francisco José Candido dos Reis ◽  
Jurandyr Moreira de Andrade ◽  
Tamara Rodrigues ◽  
Jessica Borba ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Needle Aspiration ◽  
Axillary Lymph ◽  
Breast Cancer Patients ◽  
Axillary Ultrasound ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Node Metastasis ◽  
Needle Aspiration Cytology

Abstract BackgroundAxillary lymph node involvement is one important prognostic factor in breast cancer, but the way to access this information has modified over the years.This study evaluated if axillary ultrasound (US) coupled with fine needle aspiration cytology (FNAC) can better predict clinically relevant node metastasis than physical exam, in patients with breast cancer.MethodsThis is a cross-sectional study with retrospective data collection of 241 women with operable breast cancer who were submitted to preoperative axillary assessment by physical exam, US and FNAC if suspicious nodes by imaging. We calculated sensitivity, specificity, and accuracy of the methods. We compared the patient's characteristics using chi-square test, parametrics and non parametrics statistics according to the variable.ResultsThe most sensible method was US (0.59; 95% CI, 0.50-0.69) and the most specific was US coupled with FNAC (0.97; 95% CI, 0.92-0.99 ). Only 2,7% of the patients with normal axillary US had more than 2 metastatic nodes in the axillary lymph node dissection, against 50% of the patients with suspicious lymph nodes in the US and positive FNAC. ConclusionsWe found that axillary US and FNAC are more accurate than physical examination in detecting node metastasis in breast cancer patients. Moreover, axillary US coupled with FNAC can sort patients that have a few metastatic nodes at most from those with heavy axillary burden and could be one more tool to initially evaluate patients and define treatment´s strategies.

Correlation of Ultrasound Findings and Fine-Needle Aspiration Cytology for the Diagnosis of Axillary Lymph Node Metastasis in Patients with Breast Carcinoma

2018 ◽  
Vol 63 (1) ◽  
pp. 17-22
Author(s):  
Kusum Kapila ◽  
Preetha Alath ◽  
Govind H. Hebbar ◽  
Mohammed Jaragh ◽  
Sara S. George ◽  
...  
Keyword(s):  
Lymph Node ◽  
Breast Carcinoma ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Width Ratio ◽  
Axillary Lymph ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Length Width ◽  
Needle Aspiration Cytology

Objective: Ultrasound-guided fine-needle aspiration cytology (USG-FNAC) is used for the detection of axillary lymph node (ALN) metastasis in patients with breast carcinoma (BC). US findings have a good diagnostic accuracy with high sensitivity and specificity. The aim of this study is to correlate the detection of ALN metastases on US with FNAC in BC patients. Study Design: In 75 BC patients, over a period of 9 months (January to September 2017), the size, cortical thickness (CT), presence or absence of hilar fat, and length/width ratio of ALN on US were reviewed and correlated with FNAC findings. Results: The age range was 29–78 (mean 52) years. There were 38 patients with a single ALN and 37 with multiple ALNs. ALNs with a maximum length of > 2.5 cm were malignant in 100% of cases while those ≥1.5 cm were malignant in 80.4%. ALNs with a CT of > 3 mm had metastasis in 78.1% cases. ALNs with absent hilar fat showed tumour in 87.5% cases. A length/width ratio of < 2 showed a metastatic tumour in 66.7% of aspirates. Conclusion: An association was seen between metastatic carcinoma on FNAC and axillary US features of a maximum length of ≥1.5 cm, the absence of hilar fat, and a CT of > 3 mm (p < 0.05).

The Role of Axillary Lymph Node Fine Needle Aspiration in Breast Cancer Staging prior to Chemotherapy with Histological Correlation

2012 ◽  
Vol 56 (2) ◽  
pp. 139-145 ◽  
Author(s):  
Sara E. Monaco ◽  
Amy Colaizzi ◽  
Anisa Kanbour ◽  
Ahmed S. Ibrahim ◽  
Amal Kanbour-Shakir
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Fine Needle Aspiration ◽  
Axillary Lymph Node ◽  
Cancer Staging ◽  
Needle Aspiration ◽  
Axillary Lymph ◽  
Fine Needle ◽  
Breast Cancer Staging
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