Ultrasonography Search

CLOSE

Journal of Korean Society of Ultrasound in Medicine 2009;28(3): 155-161.
The Accuracy of Axillary Ultrasonography for Patients with T1-2 Breast Cancers.
Boo Kyung Han, Jung Hee Shin, Eun Young Ko, Hyo K Lim, Eun Yoon Cho, Yoon La Choi, Seok Jin Nam, Jung Hyun Yang
1Department of Radiology, Sungkyunkwan University, School of Medicine, Samsung Medical Center, Korea. bkhan@skku.edu
2Department of Pathology, Sungkyunkwan University, School of Medicine, Samsung Medical Center, Korea.
3Department of Surgery, Sungkyunkwan University, School of Medicine, Samsung Medical Center, Korea.
  Published online: September 1, 2009.
ABSTRACT
PURPOSE: We wanted to investigate the accuracy of axillary ultrasonography for detecting axillary nodal metastasis in patients with T1-2 breast cancer and we also wanted to determine the factors affecting the sensitivity. MATERIALS AND METHODS: Two radiologists performed axillary ultrasonography in 119 consecutive patients with T1-2 breast cancer and clinically uninvolved axillae. We analyzed the accuracy of ultrasonography for detecting axillary nodal metastasis with the histologic results being used as a reference standard. We evaluated the number of involved lymph nodes, T staging and the histologic grade of the tumors. RESULTS: Axillary nodes were involved in 39% of total patients (46/119); 30% of the patients with T1 cancer and 55% of the patients with T2 cancer. The sensitivity, specificity, positive predictive value and negative predictive value were for 52%, 92%, 80% and 75%, respectively. The sensitivity was significantly lower for the cases with one to two lymph nodes metastasis and T1 cancer than in those cases with 3 or more lymph nodes metastasis and T2 cancer (35% and 75% in the cases with 1-2 cancer and the cases with > 3 lymph nodes metastasis, respectively, p = 0.009; 38% and 68% in the cases with T1 and the cases with T2 cancer, respectively, p = 0.045). CONCLUSIONS: The ultrasonographic sensitivity for detecting axillary lymph node metastasis is low, especially in the cases with one to two lymph nodes metastasis and the cases with T1 cancer. Detailed analysis and adoption of cytologic examination of the axillary lymph nodes are necessary to improue the accuracy of ultrasonography.
Keywords: Breast Cancer; Axilla; Ultrasonography; Lymph Nodes
TOOLS
Full text via DOI  Full text via DOI
METRICS
1,336
View
4
Download
Editorial Office
A-304 Mapo Trapalace, 53 Mapo-daero, Mapo-gu, Seoul 04158, Korea
TEL : +82-2-763-5627   FAX : +82-2-763-6909   E-mail : office@ultrasound.or.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © Korean Society of Ultrasound in Medicine.                 Developed in M2PI
Zoom in Close layer