Value of the Axillary Lymph Nodes of Breast Cancer Ultrasound Assessment
DENG Jing1a, LI Ao1a, ZHOU Wenbing1b, XU Yi1c, LI Qin1a, LI Cuiying1a, SU Haobo2
1.a.Department of Ultrasonography; b.Department of Breast Surgery; c.Department of Pathology, The First Affiliated Hospital of
Nanjing Medical University, Nanjing Jiangsu 210029, China;
2.Department of Ultrasound, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing Jiangsu 210006, China
Abstract：Objective To evaluate the value of ultrasonography in diagnosis of axillary lymph node (ALN) metastasis in breast cancer.
Methods A retrospective analysis of 265 cases of axillary lymph nodes who were diagnosed as breast cancer admitted in the first
affiliated hospital of nanjing medical university from January 2016 to April 2017 were included in this study. The degree and the
state of the lymph nodes of cortical thickening and the hilus structure in bilateral were analyzed. Results Nomal axillary lymph
nodes were found in 132 cases, 20 with pathological metastasis. 133 with unnormal axillary lymph nodes, among them, 77 were
found with pathological metastasis. The sensitivity, specificity, positive predictive value, negative predictive value were 79.38%,
66.67%, 57.89% and 84.85% respectively. These patients were then grouped according to the cortical thickening of 3.0 mm. As a
result, patients with cortical thickness ≥3.0 mm had higher lymph node metastasis rate. In particular, the metastasis rate was 100%
in lymph node with disappearance hilus (P<0.05). But in the same group of cortical thickness uniform and non-uniform, there is no
obvious difference for lymph node metastasis (P>0.05). Ultrasonic normal group (false negative) had lower metastatic nodal burden
than that of cortical thickness ≥3.0 mm group (P<0.05). Conclusion Ultrasound can effectively evaluate axillary lymph node status
in breast cancer. The metastasis rate is higher in cortical thickness ≥3.0 mm than that of cortical thickness <3.0 mm.
邓晶1a，李奥1a，周文斌1b，徐祎1c，李沁1a，栗翠英1a，苏浩波2. 乳腺癌腋窝淋巴结超声评估的价值[J]. 中国医疗设备, 2017, 32(12): 72-75.
DENG Jing1a, LI Ao1a, ZHOU Wenbing1b, XU Yi1c, LI Qin1a, LI Cuiying1a, SU Haobo2. Value of the Axillary Lymph Nodes of Breast Cancer Ultrasound Assessment. China Medical Devices, 2017, 32(12): 72-75.
