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- Title
Correlation of Ultrasound Findings and Fine-Needle Aspiration Cytology for the Diagnosis of Axillary Lymph Node Metastasis in Patients with Breast Carcinoma.
- Authors
Kapila, Kusum; Alath, Preetha; Hebbar, Govind H.; Jaragh, Mohammed; George, Sara S.; AlJassar, Ayesha
- Abstract
Objective: Ultrasound-guided fine-needle aspiration cytology (USG-FNAC) is used for the detection of axillary lymph node (ALN) metastasis in patients with breast carcinoma (BC). US findings have a good diagnostic accuracy with high sensitivity and specificity. The aim of this study is to correlate the detection of ALN metastases on US with FNAC in BC patients. Study Design: In 75 BC patients, over a period of 9 months (January to September 2017), the size, cortical thickness (CT), presence or absence of hilar fat, and length/width ratio of ALN on US were reviewed and correlated with FNAC findings. Results: The age range was 29–78 (mean 52) years. There were 38 patients with a single ALN and 37 with multiple ALNs. ALNs with a maximum length of > 2.5 cm were malignant in 100% of cases while those ≥1.5 cm were malignant in 80.4%. ALNs with a CT of > 3 mm had metastasis in 78.1% cases. ALNs with absent hilar fat showed tumour in 87.5% cases. A length/width ratio of < 2 showed a metastatic tumour in 66.7% of aspirates. Conclusion: An association was seen between metastatic carcinoma on FNAC and axillary US features of a maximum length of ≥1.5 cm, the absence of hilar fat, and a CT of > 3 mm (p < 0.05).
- Subjects
METASTASIS; AXILLA; BREAST tumors; CANCER patients; STATISTICAL correlation; CYTOLOGY; LYMPH nodes; NEEDLE biopsy; ULTRASONIC imaging; DESCRIPTIVE statistics; DIAGNOSIS
- Publication
Acta Cytologica, 2019, Vol 63, Issue 1, p17
- ISSN
0001-5547
- Publication type
Article
- DOI
10.1159/000493635