Value of axillary ultrasonography and sonographically guided puncture of axillary nodes: A prospective study in 144 consecutive patients

The value of axillary sonography in 144 consecutive patients was prospectively studied. Abnormal lymph nodes were demonstrated in 72 axillae, only half (36 of 72) of which were clinically detected. In comparison with intraoperative findings in 47 patients with breast carcinoma, the sensitivity of so...

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Bibliographic Details
Published in:	Journal of clinical ultrasound Vol. 25; no. 2; pp. 53 - 56
Main Authors:	Verbanck, Johan, Vandewiele, Ignace, De Winter, Hilde, Tytgat, Joos, Van Aelst, Filip, Tanghe, Wilfried
Format:	Journal Article
Language:	English
Published:	New York Wiley Subscription Services, Inc., A Wiley Company 01-02-1997 Wiley
Subjects:	Adult Aged Axilla axillary nodes Biological and medical sciences Biopsy, Needle breast carcinoma Breast Neoplasms - diagnostic imaging Breast Neoplasms - pathology Breast Neoplasms, Male - diagnostic imaging Carcinoma, Embryonal - diagnostic imaging Carcinoma, Embryonal - pathology Cardiovascular system Female Gynecology. Andrology. Obstetrics Humans Investigative techniques, diagnostic techniques (general aspects) lymph nodes Lymph Nodes - diagnostic imaging Lymph Nodes - pathology Lymphatic Metastasis - diagnostic imaging Lymphatic Metastasis - pathology Lymphoma, Non-Hodgkin - diagnostic imaging Lymphoma, Non-Hodgkin - pathology Male Mammary gland diseases Medical sciences Melanoma - diagnostic imaging Melanoma - pathology Middle Aged Predictive Value of Tests Prospective Studies Sensitivity and Specificity Tumors Ultrasonic investigative techniques Ultrasonography Sonography Human Guidance Mammary gland diseases Pathology Sensitivity Biopsy Etiology Axillary ganglion Adenopathy Echography Tumor Diagnosis Mammary gland Woman
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Summary:	The value of axillary sonography in 144 consecutive patients was prospectively studied. Abnormal lymph nodes were demonstrated in 72 axillae, only half (36 of 72) of which were clinically detected. In comparison with intraoperative findings in 47 patients with breast carcinoma, the sensitivity of sonography in detecting malignant nodes was 92%, the specificity 95%, and the positive and negative predictive value 96% and 91%, respectively. In 42 patients a sonographically guided node puncture was performed. Evidence of malignancy was found in 38 (90.5%). In 14 (33%) of them, cyto‐histology pointed to a clinically undetected primary malignancy. © 1997 John Wiley & Sons, Inc.
Bibliography:	ArticleID:JCU1 ark:/67375/WNG-FCJDCF8P-S istex:2D98BF422BB7128F648CCC9575B569A3E388131A ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0091-2751 1097-0096
DOI:	10.1002/(SICI)1097-0096(199702)25:2<53::AID-JCU1>3.0.CO;2-I