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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">THE COMBINATION OF AXILLARY ULTRASOUND AND ULTRASOUND-GUIDED BIOPSY IS AN ACCURATE PREDICTOR OF AXILLARY STAGE IN CLINICALLY NODE-NEGATIVE BREAST CANCER PATIENTS</title><author><name sortKey="Holwitt, Dana M" sort="Holwitt, Dana M" uniqKey="Holwitt D" first="Dana M." last="Holwitt">Dana M. Holwitt</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Swatske, Mary Ellen" sort="Swatske, Mary Ellen" uniqKey="Swatske M" first="Mary Ellen" last="Swatske">Mary Ellen Swatske</name><affiliation><nlm:aff id="A2">Department of Radiology, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Gillanders, William E" sort="Gillanders, William E" uniqKey="Gillanders W" first="William E." last="Gillanders">William E. Gillanders</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Monsees, Barbara S" sort="Monsees, Barbara S" uniqKey="Monsees B" first="Barbara S." last="Monsees">Barbara S. Monsees</name><affiliation><nlm:aff id="A2">Department of Radiology, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Gao, Feng" sort="Gao, Feng" uniqKey="Gao F" first="Feng" last="Gao">Feng Gao</name><affiliation><nlm:aff id="A3">Division of Biostatistics, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Aft, Rebecca L" sort="Aft, Rebecca L" uniqKey="Aft R" first="Rebecca L." last="Aft">Rebecca L. Aft</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Surgery, John Cochran Veterans Hospital, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Eberlein, Timothy J" sort="Eberlein, Timothy J" uniqKey="Eberlein T" first="Timothy J." last="Eberlein">Timothy J. Eberlein</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Margenthaler, Julie A" sort="Margenthaler, Julie A" uniqKey="Margenthaler J" first="Julie A." last="Margenthaler">Julie A. Margenthaler</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18723153</idno><idno type="pmc">3892698</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3892698</idno><idno type="RBID">PMC:3892698</idno><idno type="doi">10.1016/j.amjsurg.2008.06.006</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">003326</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003326</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">THE COMBINATION OF AXILLARY ULTRASOUND AND ULTRASOUND-GUIDED BIOPSY IS AN ACCURATE PREDICTOR OF AXILLARY STAGE IN CLINICALLY NODE-NEGATIVE BREAST CANCER PATIENTS</title><author><name sortKey="Holwitt, Dana M" sort="Holwitt, Dana M" uniqKey="Holwitt D" first="Dana M." last="Holwitt">Dana M. Holwitt</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Swatske, Mary Ellen" sort="Swatske, Mary Ellen" uniqKey="Swatske M" first="Mary Ellen" last="Swatske">Mary Ellen Swatske</name><affiliation><nlm:aff id="A2">Department of Radiology, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Gillanders, William E" sort="Gillanders, William E" uniqKey="Gillanders W" first="William E." last="Gillanders">William E. Gillanders</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Monsees, Barbara S" sort="Monsees, Barbara S" uniqKey="Monsees B" first="Barbara S." last="Monsees">Barbara S. Monsees</name><affiliation><nlm:aff id="A2">Department of Radiology, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Gao, Feng" sort="Gao, Feng" uniqKey="Gao F" first="Feng" last="Gao">Feng Gao</name><affiliation><nlm:aff id="A3">Division of Biostatistics, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Aft, Rebecca L" sort="Aft, Rebecca L" uniqKey="Aft R" first="Rebecca L." last="Aft">Rebecca L. Aft</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Surgery, John Cochran Veterans Hospital, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Eberlein, Timothy J" sort="Eberlein, Timothy J" uniqKey="Eberlein T" first="Timothy J." last="Eberlein">Timothy J. Eberlein</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author><author><name sortKey="Margenthaler, Julie A" sort="Margenthaler, Julie A" uniqKey="Margenthaler J" first="Julie A." last="Margenthaler">Julie A. Margenthaler</name><affiliation><nlm:aff id="A1">Department of Surgery, Washington University School of Medicine, St. Louis, MO</nlm:aff></affiliation></author></analytic><series><title level="j">American journal of surgery</title><idno type="ISSN">0002-9610</idno><idno type="eISSN">1879-1883</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">The study aim was to determine the accuracy of axillary ultrasound (AUS) and fine needle aspiration biopsy (FNAB)/needle core biopsy in axillary breast cancer staging.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We reviewed 256 patients with clinically node-negative breast cancer who underwent AUS +/− FNAB/needle core biopsy. AUS-guided FNAB/needle core biopsy was compared to histopathology to determine sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV).</p></sec><sec id="S3"><title>Results</title><p id="P3">AUS-guided FNAB/needle core biopsy and final pathology were positive in 72/256 patients (28%). In 125/256 cases (49%), the AUS and final pathology were negative. Two of 110 patients had a false positive FNAB (1.8%); both received neoadjuvant chemotherapy. Nine patients (8%) had a false negative FNAB/needle core biopsy; the median size of lymph node metastasis was 3 mm. The sensitivity and specificity of AUS-guided FNAB/needle core biopsy was 71% and 99%, with a NPV of 84% and PPV of 97%.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">AUS-guided FNAB/needle core biopsy is accurate in predicting the status of the axilla in 70% of clinically node-negative breast cancer patients. This technique is minimally invasive with a low complication rate and can obviate the need for staged lymph node procedures.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0370473</journal-id><journal-id journal-id-type="pubmed-jr-id">471</journal-id><journal-id journal-id-type="nlm-ta">Am J Surg</journal-id><journal-id journal-id-type="iso-abbrev">Am. J. Surg.</journal-id><journal-title-group><journal-title>American journal of surgery</journal-title></journal-title-group><issn pub-type="ppub">0002-9610</issn><issn pub-type="epub">1879-1883</issn></journal-meta><article-meta><article-id pub-id-type="pmid">18723153</article-id><article-id pub-id-type="pmc">3892698</article-id><article-id pub-id-type="doi">10.1016/j.amjsurg.2008.06.006</article-id><article-id pub-id-type="manuscript">NIHMS542017</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>THE COMBINATION OF AXILLARY ULTRASOUND AND ULTRASOUND-GUIDED BIOPSY IS AN ACCURATE PREDICTOR OF AXILLARY STAGE IN CLINICALLY NODE-NEGATIVE BREAST CANCER PATIENTS</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Holwitt</surname><given-names>Dana M.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Swatske</surname><given-names>Mary Ellen</given-names></name><degrees>RN</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Gillanders</surname><given-names>William E.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Monsees</surname><given-names>Barbara S.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Gao</surname><given-names>Feng</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Aft</surname><given-names>Rebecca L.</given-names></name><degrees>MD, PhD</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Eberlein</surname><given-names>Timothy J.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Margenthaler</surname><given-names>Julie A.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Surgery, Washington University School of Medicine, St. Louis, MO</aff><aff id="A2"><label>2</label>Department of Radiology, Washington University School of Medicine, St. Louis, MO</aff><aff id="A3"><label>3</label>Division of Biostatistics, Washington University School of Medicine, St. Louis, MO</aff><aff id="A4"><label>4</label>Department of Surgery, John Cochran Veterans Hospital, St. Louis, MO</aff><author-notes><corresp id="cor1">Address Correspondence: Julie A. Margenthaler, MD, Department of Surgery-WUSM, 660 S. Euclid Ave., Campus Box 8109, St. Louis, MO 63110, Telephone – 314-747-9724, Fax – 314-454-5509, <email>margenthalerj@wudosis.wustl.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>3</day><month>1</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>23</day><month>8</month><year>2008</year></pub-date><pub-date pub-type="ppub"><month>10</month><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>15</day><month>1</month><year>2014</year></pub-date><volume>196</volume><issue>4</issue><fpage>477</fpage><lpage>482</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.amjsurg.2008.06.006</pmc-comment>
<permissions><copyright-statement>© 2013 Excerpta Medica, Inc. All rights reserved.</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P1">The study aim was to determine the accuracy of axillary ultrasound (AUS) and fine needle aspiration biopsy (FNAB)/needle core biopsy in axillary breast cancer staging.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We reviewed 256 patients with clinically node-negative breast cancer who underwent AUS +/− FNAB/needle core biopsy. AUS-guided FNAB/needle core biopsy was compared to histopathology to determine sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV).</p></sec><sec id="S3"><title>Results</title><p id="P3">AUS-guided FNAB/needle core biopsy and final pathology were positive in 72/256 patients (28%). In 125/256 cases (49%), the AUS and final pathology were negative. Two of 110 patients had a false positive FNAB (1.8%); both received neoadjuvant chemotherapy. Nine patients (8%) had a false negative FNAB/needle core biopsy; the median size of lymph node metastasis was 3 mm. The sensitivity and specificity of AUS-guided FNAB/needle core biopsy was 71% and 99%, with a NPV of 84% and PPV of 97%.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">AUS-guided FNAB/needle core biopsy is accurate in predicting the status of the axilla in 70% of clinically node-negative breast cancer patients. This technique is minimally invasive with a low complication rate and can obviate the need for staged lymph node procedures.</p></sec></abstract><kwd-group><kwd>Breast cancer</kwd><kwd>Axillary ultrasound (AUS)</kwd><kwd>Fine needle aspiration biopsy (FNAB)</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Cancer Institute : NCI</funding-source><award-id>P30 CA091842 || CA</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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