Role of Sonography in the Diagnosis of Axillary Lymph Node Metastases in Breast Cancer: A Systematic Review
Top Cited Papers
- 1 May 2006
- journal article
- review article
- Published by American Roentgen Ray Society in American Journal of Roentgenology
- Vol. 186 (5) , 1342-1348
- https://doi.org/10.2214/ajr.05.0936
Abstract
OBJECTIVE. The purpose of our study was to evaluate the accuracy of sonography and sonographically guided biopsy in the preoperative diagnosis of metastatic invasion of the axilla in patients with breast carcinoma.MATERIALS AND METHODS. We performed a MEDLINE search (keywords, “sonography” OR “ultrasound” AND “axillary”) and a manual search of the references of relevant studies and reviews of preoperative diagnosis on sonography of possible axillary metastases. The gold standard required was axillary lymph node dissection; we accepted sentinel node biopsy as an alternative gold standard. Considering the sonographic findings and the results of the sonographically guided biopsy, the sensitivity and specificity were calculated using metaanalysis. We also checked the existence of heterogeneity of the summary results.RESULTS. Sixteen articles were selected. In sonography of axillae without palpable nodes, and using lymph node size as the criterion for positivity, sensitivity varied between 48.8% (95% confidenc...Keywords
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