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

✍ Scribed by Verbanck, Johan; Vandewiele, Ignace; De Winter, Hilde; Tytgat, Joos; Van Aelst, Filip; Tanghe, Wilfried


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
233 KB
Volume
25
Category
Article
ISSN
0091-2751

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✦ Synopsis


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.


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## Abstract Thirty‐seven axillary status of patients with breast carcinoma was studied with preoperative and peroperative palpation before mastectomy and total axillary dissection. Special attention was paid to the clinical supiciousness and size of axillary nodes. The preoperative axillary palpati