Axillary node staging by ultrasonography and fine-needle aspiration cytology in patients with breast cancer

Baruah, Bedanta Prakash; Goyal, Amit; Young, Philippa; Douglas-Jones, A.; Mansel, Robert Edward

doi:10.1002/bjs.6964

Cited by 93 publications

(61 citation statements)

References 17 publications

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“…Consequently, 44 articles included information relating FNAC and breast cancer diagnosis. But only 21 of 44 articles satisfied the requirements of the meta-analysis fully (Bonnema et al, 1997;Bedrosian et al, 2003;Deurloo et al, 2003;Kuenen-Boumeester et al, 2003;Sapino et al, 2003;Duchesne et al, 2005;Podkrajsek et al, 2005;Popli et al, 2006;van Rijk et al, 2006;Altomare et al, 2007;Ciatto et al, 2007;Alkuwari et al, 2008;Tahir et al, 2008;Baruah et al, 2010;Jung et al, 2010;Luparia et al, 2010;Carroll et al, 2011;Devaraj et al, 2011;Hayes et al, 2011;Schiettecatte et al, 2011), addressing the value of FNAC in staging of axillary lymph node in breast cancer patients. The detailed procedure was seen in Figure 1.…”

Section: Literature Search and Selectionmentioning

confidence: 99%

Diagnostic Accuracy of Ultrasonograph Guided Fine-needle Aspiration Cytologic in Staging of Axillary Lymph Node Metastasis in Breast Cancer Patients: a Meta-analysis

Wang

Xiong²,

Zen³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Section: Literature Search and Selectionmentioning

confidence: 99%

Diagnostic Accuracy of Ultrasonograph Guided Fine-needle Aspiration Cytologic in Staging of Axillary Lymph Node Metastasis in Breast Cancer Patients: a Meta-analysis

Wang

Xiong²,

Zen³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…Up to 30% of node positive patients can be identified pre-operatively with imaging and FNAC/core biopsy [10] -the remaining node positive patients are then detected by SLNB.…”

Section: Discussionmentioning

confidence: 99%

Axillary nodal yields: A comparison between primary clearance and completion clearance after sentinel lymph node biopsy in the management of breast cancer

Chakravorty

Sanmugalingam

Shrestha

et al. 2011

European Journal of Surgical Oncology (EJSO)

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International audienceAxillary nodal status is the most important prognostic indicator which in turn influences adjuvant therapy and long term outcomes. The aim of this study was to compare total nodal yields from primary axillary lymph node dissection (pALND) with completion ALND after a cancer positive SLNB: either concurrently (cALND) following intra-operative assessment (IOA) of the SLN's or as a delayed procedure (dALND) when the SLN was found to be cancer positive on post operative histological examination

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“…All patients who were found to have suspicious Lymph nodes on Axillary Ultrasound were chosen to undergo Ultrasound Guided FNAC of the suspicious nodes which was done by the same radiologist in every case. The suspicious node on ultrasound was defined according to guidelines of Baruah et al 11 The features of a suspicious node taken on ultrasound were: 1. Longitudinal to transverse axis of node ratio of less than 2.…”

Section: Methodsmentioning

confidence: 99%

Role of ultrasound guided fnac in axillary staging in breast carcinoma with no clinically palpable axillary lymph nodes. a prospective study

Sharma¹,

Nanda²,

Jaswa³

et al. 2017

Int j curr adv res

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A R T I C L E I N F O A B S T R A C TThe purpose of this study was to stage the axilla by USG guided FNAC in clinically node negative cases and whether cumbersome procedure of sentinel lymph node dissection in breast carcinoma can be avoided for staging of axilla. The present study was carried out in Department of Surgery, IGMC, Shimla in collaboration with the departments of Radiodiagnosis and Pathology over a period of 12 months from 1st July 2015 to 30th June 2016 on 40 patients. Patients of diagnosed breast carcinoma and clinically node negative axilla were included in this study. Ultrasound guided FNAC of suspicious axillary lymph nodes was obtained in every case and sent for histopathology and these findings were compared with those of breast surgery specimen. Majority of the patients in the study were above the age of 50 years (75%). Ultrasound guided FNAC of suspicious axillary The sensitivity, positive predictive value, and negative predictive value of Axillary USG alone were 85.71%, 80%, and 60% respectively. The overall diagnostic accuracy was 75%.The sensitivity, specificity, positive predictive value and negative predictive value of Axillary USG guided FNAC were 91.66%, 100%, 100%, and 75% respectively. The overall diagnostic accuracy of USG guided FNAC was (93%). We conclude that Ultrasound guided FNAC of non-palpable indeterminate and suspicious axillary lymph nodes is a simple, minimally invasive and reliable technique for the initial determination of axillary lymph node status in breast carcinoma patients and can be immensely valuable in planning the appropriate management of patients, if adopted into routine clinical practice. Patients who have suspicious nodes on ultrasonogram and a subsequently positive FNAC can be considered node-positive and are recommended to undergo Axillary lymph node dissection at the time of primary breast surgery and sentinel lymph node biopsy can be avoided which is much cumbersome and time consuming procedure. INTRODUCTIONBreast cancer is the commonest cancer in women worldwide. The developed countries with a small proportion of the world population account for almost 50% of breast cancers. In the developing countries of Asia, the health care burden on account of breast cancer has been steadily mounting 1 . Over 100,000 new breast cancer patients are estimated to be diagnosed annually in India . Management of breast cancer is a multidisciplinary approach consisting of surgery, chemotherapy, hormone blocking therapy, monoclonal antibodies and radiotherapy. With increased awareness & screening programs in west, more number of women now present with small tumours, and hence increase in the number of breast conservation surgeries with long term results similar to that of modified radical mastectomy.Despite the availability of lots of new molecular markers, axillary nodal status still remains the most important prognostic factor for survival in breast cancer. The expected 5 year survival for a node negative breast cancer is over 90% while the survival drops to below 70% ...

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Axillary node staging by ultrasonography and fine-needle aspiration cytology in patients with breast cancer

Abstract: Preoperative AUS-FNAC avoided unnecessary SNB in 28.5 per cent of node-positive patients and in 7.8 per cent of patients overall.

Cited by 93 publications

References 17 publications

Diagnostic Accuracy of Ultrasonograph Guided Fine-needle Aspiration Cytologic in Staging of Axillary Lymph Node Metastasis in Breast Cancer Patients: a Meta-analysis

Diagnostic Accuracy of Ultrasonograph Guided Fine-needle Aspiration Cytologic in Staging of Axillary Lymph Node Metastasis in Breast Cancer Patients: a Meta-analysis

Axillary nodal yields: A comparison between primary clearance and completion clearance after sentinel lymph node biopsy in the management of breast cancer

Role of ultrasound guided fnac in axillary staging in breast carcinoma with no clinically palpable axillary lymph nodes. a prospective study

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