Document Detail


High-resolution ultrasonographic features of axillary lymph node metastasis in patients with breast cancer.
MedLine Citation:
PMID:  19297159     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine ultrasound (US) features that most accurately predict the presence of axillary lymph node metastasis, we retrospectively analysed the results of preoperative US breast examinations of axillary lymph nodes in 425 consecutive patients who subsequently underwent surgery for invasive breast cancer. We compared the US findings with pathologic results for axillary lymph node metastasis. US features included length of the longest (L) and shortest (S) axes, L/S ratio, cortical thickness, presence of hilum and shape. The results of multivariate logistic regression analysis revealed that cortical thickness greater than 3mm was the most accurate indicator, with 4.14 times increased risk of the presence of an axillary lymph node metastasis as compared to cortical thickness less than 3mm. The absence of a hilum showed the highest specificity for axillary lymph node metastasis (94.6%), but low sensitivity.
Authors:
Yoon Jung Choi; Eun Young Ko; Boo-Kyung Han; Jung Hee Shin; Seok Seon Kang; Soo Yeon Hahn
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-03-17
Journal Detail:
Title:  Breast (Edinburgh, Scotland)     Volume:  18     ISSN:  1532-3080     ISO Abbreviation:  Breast     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-21     Completed Date:  2009-08-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9213011     Medline TA:  Breast     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  119-22     Citation Subset:  IM    
Affiliation:
Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University, Seoul, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Axilla
Breast Neoplasms / pathology*,  ultrasonography*
Female
Humans
Lymph Nodes / pathology*,  ultrasonography*
Lymphatic Metastasis / ultrasonography*
Middle Aged
Neoplasm Staging
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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