Axillary Nodal Burden in Breast Cancer Patients With Pre-operative Fine Needle Aspiration-proven Positive Lymph Nodes Compared to Those With Positive Sentinel Nodes

Calogero Cipolla, Nello Grassi, Salvatore Vieni, Maria Rosaria Valerio, Mario Latteri, Giuseppa Graceffa, Sergio Calamia, Sergio Calamia, Stefania Latteri, Sergio Calamia, Giuseppa Graceffa, Nello Grassi, Maria Rosaria Valerio, Calogero Cipolla, Mario Latteri, Salvatore Vieni, Stefania Latteri

Risultato della ricerca: Articlepeer review

3 Citazioni (Scopus)

Abstract

BACKGROUND/AIM: Recent years have seen a considerable shift to a more conservative management of the axilla in patients with positive axillary sentinel lymph nodes. The aim of this study was to determine whether some breast cancer patients with a preoperative ultrasound-guided needle aspiration biopsy proven positive node could potentially be spared an axillary lymph node dissection according to the ACOSOG Z0011 trial criteria.PATIENTS AND METHODS: A retrospective review was performed involving 623 breast cancer patients who underwent axillary lymph node dissection after either ultrasound-guided needle aspiration biopsy proven positive node or sentinel lymph node biopsy.RESULTS: Patients with fine needle aspiration biopsy-proven positive node had worse prognosis and a higher nodal burden (6.7 vs 1.9 nodes, p<0.001), compared to those with positive sentinel lymph nodes.CONCLUSION: Patients with an ultrasound guided needle aspiration biopsy proven positive node are more likely to have tumor with more aggressive pathological characteristics and a higher nodal burden than those with a positive sentinel lymph node biopsy.
Lingua originaleEnglish
pagine (da-a)729-734
Numero di pagine6
RivistaIn Vivo
Volume34
Stato di pubblicazionePublished - 2020

All Science Journal Classification (ASJC) codes

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  • ???subjectarea.asjc.3000.3004???
  • ???subjectarea.asjc.1300.1306???

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