Axillary ultrasonography for early-stage invasive breast cancer.
Am J Surg
; 231: 86-90, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38490879
ABSTRACT
BACKGROUND:
Among women with early invasive breast cancer and 1-2 positive sentinel nodes, sentinel lymph node biopsy (SLNB) is non-inferior to axillary lymph node dissection (ALND).1-3 However, preoperative axillary ultrasonography (AxUS) may not be sensitive enough to discriminate burden of nodal metastasis in these patients, potentially leading to overtreatment.4-6 This study compares axillary operation rates in patients who did and did not receive preoperative AxUS, assessing its utility and risks for overtreatment.METHODS:
This is a retrospective cohort study of patients with clinical T1/T2 breast tumors who were clinically node negative and underwent an axillary operation.RESULTS:
Patients who had preoperative AxUS received more ALND compared to patients who did not (5.6% vs. 1.4%, p â< â0.001). There was no significant difference in the number of additional axillary operations following SLNB (2.1% vs. 2.3%, p â= â0.77).CONCLUSION:
Eliminating preoperative AxUS is associated with fewer invasive ALND procedures, without increased rate of axillary reoperations.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
Limite:
Female
/
Humans
Idioma:
En
Revista:
Am J Surg
/
Am. j. surg
/
American journal of surgery
Ano de publicação:
2024
Tipo de documento:
Article