Abstract

Diagnostic Performance of Axillary Ultrasound in Breast Cancer

Highlights

  • Lymph node status is one of the most important prognostic factors in patients with invasive breast cancer [1]

  • Until 2011, axillary lymphadenectomy had been the standard treatment in breast cancer patients with metastases on Sentinel Lymph Node Biopsy (SLNB) [3,4]

  • These findings led to the questioning of current recommendations that all suspicious lymph nodes on axillary ultrasound scanning in patients who will be subjected to neoadjuvant chemotherapy should be biopsied [14]

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Summary

Introduction

Lymph node status is one of the most important prognostic factors in patients with invasive breast cancer [1]. Until 2011, axillary lymphadenectomy had been the standard treatment in breast cancer patients with metastases on SLNB [3,4]. SLNB after neoadjuvant chemotherapy in clinically axillary negative patients is recommended by current guidelines [7,8,9]. Studies show that neoadjuvant chemotherapy may eradicate axillary nodal disease at the time of presentation [10,11,12,13]. These findings led to the questioning of current recommendations that all suspicious lymph nodes on axillary ultrasound scanning in patients who will be subjected to neoadjuvant chemotherapy should be biopsied [14]

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