Indications for axillary ultrasound use in breast cancer patients.
Clin Breast Cancer
; 12(6): 433-7, 2012 Dec.
Article
em En
| MEDLINE
| ID: mdl-23062709
ABSTRACT
BACKGROUND:
Axillary ultrasound has been adopted for preoperative planning in breast cancer. Our objective was to determine features predictive of abnormal AUS and/or positive axillary node needle biopsy (NBx). MATERIALS ANDMETHODS:
Single-institution database of breast cancer patients identified patients with preoperative AUS. Patient characteristics and outcomes were correlated with AUS and NBx. Significant features were identified using univariable and multivariable analysis and correlative statistics.RESULTS:
Three hundred thirteen breast cancers were evaluated. Abnormal AUS was demonstrated in 250 cases (80%). Node needle biopsy was performed in 247 cases (79%). Sensitivity and specificity was 93% and 48% for AUS and 86% and 100% for NBx, respectively. Palpable axillary adenopathy was significant in logistic regression model (P < .05). There were positive correlations between tumor grade, clinical T and tumor-node-metastasis stage, invasive ductal carcinoma histology, and inflammatory breast carcinoma with AUS and NBx (P < .05).CONCLUSION:
Clinicopathologic features (grade, histology, tumor size) might help guide judicious use of AUS.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Axila
/
Neoplasias da Mama
/
Ultrassonografia Mamária
/
Carcinoma Ductal de Mama
Tipo de estudo:
Evaluation_studies
/
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Middle aged
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Pregnancy
Idioma:
En
Revista:
Clin Breast Cancer
Assunto da revista:
NEOPLASIAS
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos