Clinical Radiology 70 (2015) 954e959
Contents lists available at ScienceDirect
Clinical Radiology journal homepage: www.clinicalradiologyonline.net
Retrospective preoperative assessment of the axillary lymph nodes in patients with breast cancer and literature review B. Saffar a, *, M. Bennett a, C. Metcalf b, S. Burrows c a
Department of Diagnostic and Interventional Radiology, Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia b Anatomical Pathology, Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia c Royal Perth Hospital and School of Medicine and Pharmacology, University of Western Australia, GPO Box X2213, Perth, WA 6847, Australia
article in formation Article history: Received 7 February 2015 Received in revised form 26 April 2015 Accepted 30 April 2015
AIM: To evaluate the accuracy of axillary ultrasound, compared with published literature, identify women at low risk for lymph node (LN) involvement, and to determine which clinical, pathological, and imaging findings best predict LN involvement. MATERIAL AND METHODS: From June 2010 to April 2012, 288 women with breast lesions that were suspicious of malignancy (category 4) or malignant (category 5) underwent axillary ultrasound examination. A 3 mm LN cortical thickness was used as the threshold to prompt fine-needle aspiration biopsy (FNAB) of the LN. Data were gathered regarding size, site, and grade of the index breast lesion and cortical thickness of the LN. RESULTS: Using a cut-off point of
Contents lists available at ScienceDirect
Clinical Radiology journal homepage: www.clinicalradiologyonline.net
Retrospective preoperative assessment of the axillary lymph nodes in patients with breast cancer and literature review B. Saffar a, *, M. Bennett a, C. Metcalf b, S. Burrows c a
Department of Diagnostic and Interventional Radiology, Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia b Anatomical Pathology, Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia c Royal Perth Hospital and School of Medicine and Pharmacology, University of Western Australia, GPO Box X2213, Perth, WA 6847, Australia
article in formation Article history: Received 7 February 2015 Received in revised form 26 April 2015 Accepted 30 April 2015
AIM: To evaluate the accuracy of axillary ultrasound, compared with published literature, identify women at low risk for lymph node (LN) involvement, and to determine which clinical, pathological, and imaging findings best predict LN involvement. MATERIAL AND METHODS: From June 2010 to April 2012, 288 women with breast lesions that were suspicious of malignancy (category 4) or malignant (category 5) underwent axillary ultrasound examination. A 3 mm LN cortical thickness was used as the threshold to prompt fine-needle aspiration biopsy (FNAB) of the LN. Data were gathered regarding size, site, and grade of the index breast lesion and cortical thickness of the LN. RESULTS: Using a cut-off point of
