Utilization of preoperative ultrasound-guided fine needle aspiration cytology for the evaluation of axillary lymph nodes status in patients with early stage breast cancer
10.3760/cma.j.issn.1674-6090.2019.03.015
- VernacularTitle:超声引导下针吸细胞学活检对早期乳腺癌腋窝淋巴结状态的评估
- Author:
Guo SANG
1
;
Yong HE
;
Chen LU
;
Rongneng SUN
Author Information
1. 芜湖市第二人民医院甲乳外科 241000
- Keywords:
Breast cancer;
Axillary lymph node;
Ultrasound;
Fine needle aspiration cytology
- From:
Chinese Journal of Endocrine Surgery
2019;13(3):241-244
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the utilization of preoperative ultrasound-guided fine needle aspiration cytology (FNAC) for the evaluation of axillary lymph nodes metastasis in patients with early stage breast cancer.Methods All 58 early stage breast cancer patients (cT1-2N0M0) whose ultrasound examination showed suspicious signs in axillary lymph node underwent ultrasound-guided fine needle aspiration.The cytopathological results were compared with the histopathological results.The sensitivity,specificity,positive predictive value,negative predictive value and diagnostic accuracy of ultrasound-guided fine needle aspiration for the axillary lymph node metastasis were analyzed.Results The sensitivity of ultrasound-guided fine needle aspiration was 84.1％,specificity 100.0％,positive predictive value 100.0％,negative predictive value 66.7％ and the diagnostic accuracy of ultrasound guided fine needle aspiration was 87.9％.Conclusions Preoperative axillary ultrasound-guided fine needle is a useful step in the process of axillary staging.The results provids valuable preferences for the option of axillary procedure in breast cancer
