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Value of axillary ultrasonography and sonographically guided puncture of axillary nodes: A prospective study in 144 consecutive patients
Author(s) -
Verbanck Johan,
Vandewiele Ignace,
De Winter Hilde,
Tytgat Joos,
Van Aelst Filip,
Tanghe Wilfried
Publication year - 1997
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199702)25:2<53::aid-jcu1>3.0.co;2-i
Subject(s) - medicine , malignancy , prospective cohort study , radiology , ultrasonography , predictive value , lymph node , axilla , axillary nodes , axillary lymph nodes , mammary gland , breast carcinoma , ultrasound , carcinoma , predictive value of tests , breast cancer , surgery , pathology , cancer
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.