Pamilo M, Soiva M, Lavast E M
Department of Diagnostic Radiology, Helsinki University Central Hospital, Finland.
J Ultrasound Med. 1989 Mar;8(3):115-20. doi: 10.7863/jum.1989.8.3.115.
The axillary node status is important in the prognosis of breast cancer. To evaluate the accuracy of various preoperative examination methods in detecting metastatic axillary lymph nodes, we compared the findings of clinical examination, axillary ultrasonography, and axillary mammography of 41 breast cancer patients who underwent axillary dissection and histological examination. The sensitivity was 72.7% for ultrasonography, 38.9% for axillary mammography, and 32.3% for clinical examination. Ultrasonography provides good information about the axillary nodal status. The specificity can be increased by fine-needle biopsy under ultrasound guidance.
腋窝淋巴结状态对乳腺癌的预后很重要。为评估各种术前检查方法检测腋窝转移性淋巴结的准确性，我们比较了41例行腋窝清扫术及组织学检查的乳腺癌患者的临床检查、腋窝超声检查和腋窝钼靶检查结果。超声检查的敏感性为72.7%，腋窝钼靶检查为38.9%，临床检查为32.3%。超声检查能提供有关腋窝淋巴结状态的良好信息。在超声引导下进行细针穿刺活检可提高特异性。
