Impact of sentinel lymph node biopsy by ultrasound-guided core needle biopsy for patients with suspicious node positive breast cancer

Nakamura, Rikiya; Yamamoto, Nobuto; Miyaki, Toshiko; Itami, Makiko; Shina, Nobumitsu; Ohtsuka, Masayuki

doi:10.1007/s12282-017-0795-7

Cited by 25 publications

(40 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, we followed the rationale of guiding the CNB to the lymph node cortex, where early metastatic tumor deposits develop . However, the CEUS technique justifies and enables percutaneous CNB of small benign‐appearing lymph nodes with a very thin cortex .…”

Section: Discussionmentioning

confidence: 99%

“…Axillary ultrasonography (US) followed by fine‐needle aspiration cytology (US + FNAC) or core‐needle biopsy (US + CNB) of suspicious lymph nodes identifies approximately 50% of patients with axillary lymph node metastases . Recent reports suggest that US + CNB may be superior to US + FNAC in this setting.…”

Section: Introductionmentioning

confidence: 99%

“…19 Axillary ultrasonography (US) followed by fine-needle aspiration cytology (US + FNAC) or core-needle biopsy (US + CNB) of suspicious lymph nodes identifies approximately 50% of patients with axillary lymph node metastases. [20][21][22][23][24][25][26][27][28][29][30] Recent reports suggest that US + CNB may be superior to US + FNAC in this setting. An insufficient sample is a common limitation of US + FNAC because of the use of a smaller needle.…”

Section: Introductionmentioning

confidence: 99%

“…[19][20][21] US + CNB decreases the prevalence of axillary SLNB involvement and the prevalence of extensive axillary involvement (>2 compromised lymph nodes) to approximately 20% and 5%, respectively. [22][23][24][25][26] The main reason for the false-negative results of axillary US is the normal or benign appearance of some axillary lymph nodes harboring metastatic tumor deposits. Also, the radiologist often fails to accurately identify the SLN, which is the most likely involved node.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Perinodal fibrosis developed after ultrasonography‐guided core‐needle biopsy of a contrast‐enhanced ultrasound‐detected sentinel axillary node interferes with subsequent surgical sentinel node dissection

Serquiz

Moro

Menossi

et al. 2019

J of Clinical Ultrasound

View full text Add to dashboard Cite

Objective To evaluate perinodal fibrosis after 14‐gauge staging core‐needle biopsy (CNB) of the axillary sentinel lymph node (SLN) identified using contrast‐enhanced ultrasonography (CEUS) and its interference with subsequent surgical SLN dissection in breast cancer patients. Methods Frequencies or means of main clinical, sonographic, pathological, and surgical characteristics were calculated. We also compared patient groups with and without perinodal pathological fibrosis. Results Forty‐eight patients who underwent CEUS + CNB and axillary surgery were eligible for this cross‐sectional study. Axillary surgical specimens showed perinodal fibrosis in 9/48 (18.7%) patients. Interference with SLN dissection was reported in 4/48 (8.3%) patients (two hematomas, three abnormal palpation findings, and four difficult dissections). The overall surgical detection rate of SLN was 43/48 (89.6%). In the majority of cases, perinodal fibrosis was described as moderate (4/9 [44.4%]) or severe (4/9 [44.4%]). The mean time elapsed between CEUS + CNB and axillary dissection was shorter in patients with perinodal fibrosis (P = .04). Interference with SLN dissection was only reported in patients with perinodal fibrosis (P < .001). Surgical SLN detection was successful in all nine cases in which perinodal pathological fibrosis or interference with SLN dissection was reported. Conclusion Perinodal fibrosis may impair the surgical SLN dissection in early stage breast cancer patients who were staged using CEUS + CNB using a14‐gauge needle.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perinodal fibrosis developed after ultrasonography‐guided core‐needle biopsy of a contrast‐enhanced ultrasound‐detected sentinel axillary node interferes with subsequent surgical sentinel node dissection

Serquiz

Moro

Menossi

et al. 2019

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

“…Sonographically guided lymph node CNB is considered a safe diagnostic tool . In fact, as also reported by Nakamura et al, in literature, there has not been a single report of axillary vascular damage from CNB on axillary lymph node.…”

Section: Introductionmentioning

confidence: 99%

Axillary pseudoaneurysm post core needle biopsy

et al. 2019

View full text Add to dashboard Cite

Imaging‐guided Core Needle Biopsy (CNB) is a procedure for tissue sampling in case of suspicious findings, such as breast masses and abnormal lymph nodes. It provides definitive diagnosis with a high accuracy rate and generally with no significant complications. To our knowledge, this is the first case report to document a pseudoaneurysm of the axilla after CNB. An illustrative case and a diagnostic and therapeutic literature review are presented.

show abstract

Meta-analysis of the diagnostic accuracy of ultrasound-guided fine-needle aspiration and core needle biopsy in diagnosing axillary lymph node metastasis

Balasubramanian

Fleming

Corrigan

et al. 2018

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

Impact of sentinel lymph node biopsy by ultrasound-guided core needle biopsy for patients with suspicious node positive breast cancer

Abstract: The preoperative diagnosis of axillary LNs was influenced by the diagnostic tool used. CNB is a reliable method for the preoperative diagnosis of LN metastasis.

Cited by 25 publications

References 25 publications

Perinodal fibrosis developed after ultrasonography‐guided core‐needle biopsy of a contrast‐enhanced ultrasound‐detected sentinel axillary node interferes with subsequent surgical sentinel node dissection

Perinodal fibrosis developed after ultrasonography‐guided core‐needle biopsy of a contrast‐enhanced ultrasound‐detected sentinel axillary node interferes with subsequent surgical sentinel node dissection

Axillary pseudoaneurysm post core needle biopsy

Meta-analysis of the diagnostic accuracy of ultrasound-guided fine-needle aspiration and core needle biopsy in diagnosing axillary lymph node metastasis

Contact Info

Product

Resources

About