Poster électronique

The accuracy of axillary US in predicting lymph node metastasis
M. Al Basher, A. Kassis - Al Ain - Abu Dhabi
Congrès 2010
Résumé
Objectifs
Determine the accuracy of ultrasonography in detecting lymph node metastasis at our tertiary care center.
Matériels et méthodes
Review of all patients with breast cancer treated at our center from April 2008 to October 2009. The US interpretation of the axillary lymph node was compared with AD or SLN reports. The sensitivity, specificity, PPV, and NPV were calculated.
Résultats
Total number of patients who met the inclusion criteria was 64 29 out of 64 patients were confirmed to have axillary lymph node metastasis by histopathology. US of axilla was suspicious in 22 of these 29 patients. 25 of 35 patients with negative axilla by histopathology had negative US. The sensitivity was 79 % Specificity 72 % PPV 69 % NPV 81 %.
Conclusion
US of axilla in patients with breast ca is a valuable diagnostic tool. In patients who will undergo neoadjuvant chemotherapy, a negative US of axilla may spare them SLN biopsy prior to chemotherapy. US-guided FNA may be done in case of suspicious LN's.
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