IMR Press / EJGO / Volume 25 / Issue 5 / pii/2004235

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Diagnostic value of ultrasound and color Doppler in identifying axillary lymph node metastases in patients with breast cancer

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1 Department of Gynecology, University Hospital of Coimbra, Portugal
2 Department of Radiology, University Hospital of Coimbra, Portugal
Eur. J. Gynaecol. Oncol. 2004, 25(5), 568–570;
Published: 10 October 2004
Abstract

Purpose: The aim of this study was to evaluate the diagnostic ability of ultrasound and color Doppler in axillary lymph node metastases of patients with breast cancer. Material and methods: A prospective study including 55 patients with primitive, invasive, node negative breast cancer who under­went preoperative axillary ultrasound and color Doppler. Doppler and morphologic ultrasound criteria were applied to the identifi­cation of axillary lymph node metastases. Results: The imagery study of all 55 patients identified a total of 141 nodes; 44 were considered to be positive according to estab­lished criteria. The histological examination of the axillary dissection revealed a total of 989 nodes; 77 out of 989 presented metas­tases; all invaded nodes belonged to 21 patients. The previous imagiologic study was positive for axillary lymph node metastases in 15 out of these 21 patients. A sensitivity of 71.4%, a specificity of 71.4%, a negative predictive value of 80.6% and a positive predictive value of 60.0% were achieved. Conclusion: The imagery study of the axillary region through ultrasound and color Doppler might be useful in assessing axillary lymph node metastases in patients with breast cancer.

Keywords
Breast cancer
Axillary nodes
Ultrasound
Color Doppler
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