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首页> 外文期刊>Ultrasound in Medicine and Biology >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.
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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.

机译：在考虑进行前哨淋巴结活检的乳腺癌患者术前分诊中，使用腋窝超声，超细针穿刺活检和磁共振成像。

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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.
机译：我们通过前哨淋巴结活检或腋窝淋巴结清扫术评估了浸润性乳腺癌患者单独或联合细针穿刺腋窝活检和磁共振成像与最终腋窝组织学的诊断结果。从2003年1月到2009年3月，包括520例腋窝超声检查和105例腋窝磁共振成像研究。与最终腋窝组织学相比，超声细针穿刺抽吸的阳性预测值为87％，阴性预测值为82％，敏感性为53％，特异性为100％。在超声检查阴性的情况下，阳性淋巴结的发生率为17％（微转移除外）。在考虑进行前哨淋巴结活检的患者的术前检查中，必须包括对腋窝进行超声检查以及适当的细针穿刺检查，以明确确立这种指征，同时最大程度地减少假阴性前哨淋巴结的风险。腋窝磁共振成像不能改善术前检查。

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