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Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools

The detection of lymph node metastasis affects the management of patients with primary breast cancer significantly in terms of staging, treatment, and prognosis. The main goal for the radiologist is to determine and detect the presence of metastatic disease in nonpalpable axillary lymph nodes with a...

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Autores principales: Marino, Maria Adele, Avendano, Daly, Zapata, Pedro, Riedl, Christopher C., Pinker, Katja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011661/
https://www.ncbi.nlm.nih.gov/pubmed/32043792
http://dx.doi.org/10.1634/theoncologist.2019-0427
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author Marino, Maria Adele
Avendano, Daly
Zapata, Pedro
Riedl, Christopher C.
Pinker, Katja
author_facet Marino, Maria Adele
Avendano, Daly
Zapata, Pedro
Riedl, Christopher C.
Pinker, Katja
author_sort Marino, Maria Adele
collection PubMed
description The detection of lymph node metastasis affects the management of patients with primary breast cancer significantly in terms of staging, treatment, and prognosis. The main goal for the radiologist is to determine and detect the presence of metastatic disease in nonpalpable axillary lymph nodes with a positive predictive value that is high enough to initially select patients for upfront axillary lymph node dissection. Features that are suggestive of axillary adenopathy may be seen with different imaging modalities, but ultrasound is the method of choice for evaluating axillary lymph nodes and for performing image‐guided lymph node interventions. This review aims to provide a comprehensive overview of the available imaging modalities for lymph node assessment in patients diagnosed with primary breast cancer. IMPLICATIONS FOR PRACTICE: The detection of lymph node metastasis affects the management of patients with primary breast cancer. The main goal for the radiologist is to detect lymph node metastasis in patients to allow for the selection of patients who should undergo upfront axillary lymph node dissection. Features that are suggestive of axillary adenopathy may be seen with mammography, computed tomography, and magnetic resonance imaging, but ultrasonography is the imaging modality of choice for evaluating axillary lymph nodes. A normal axillary lymph node is characterized by a reniform shape, a maximal cortical thickness of 3 mm without focal bulging, smooth margins, and, depending on size, a discernable central fatty hilum.
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spelling pubmed-70116612020-03-12 Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools Marino, Maria Adele Avendano, Daly Zapata, Pedro Riedl, Christopher C. Pinker, Katja Oncologist Breast Cancer The detection of lymph node metastasis affects the management of patients with primary breast cancer significantly in terms of staging, treatment, and prognosis. The main goal for the radiologist is to determine and detect the presence of metastatic disease in nonpalpable axillary lymph nodes with a positive predictive value that is high enough to initially select patients for upfront axillary lymph node dissection. Features that are suggestive of axillary adenopathy may be seen with different imaging modalities, but ultrasound is the method of choice for evaluating axillary lymph nodes and for performing image‐guided lymph node interventions. This review aims to provide a comprehensive overview of the available imaging modalities for lymph node assessment in patients diagnosed with primary breast cancer. IMPLICATIONS FOR PRACTICE: The detection of lymph node metastasis affects the management of patients with primary breast cancer. The main goal for the radiologist is to detect lymph node metastasis in patients to allow for the selection of patients who should undergo upfront axillary lymph node dissection. Features that are suggestive of axillary adenopathy may be seen with mammography, computed tomography, and magnetic resonance imaging, but ultrasonography is the imaging modality of choice for evaluating axillary lymph nodes. A normal axillary lymph node is characterized by a reniform shape, a maximal cortical thickness of 3 mm without focal bulging, smooth margins, and, depending on size, a discernable central fatty hilum. John Wiley & Sons, Inc. 2019-10-14 2020-02 /pmc/articles/PMC7011661/ /pubmed/32043792 http://dx.doi.org/10.1634/theoncologist.2019-0427 Text en © 2019 The Authors. The Oncologist published by Wiley Periodicals, Inc. on behalf of AlphaMed Press. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Breast Cancer
Marino, Maria Adele
Avendano, Daly
Zapata, Pedro
Riedl, Christopher C.
Pinker, Katja
Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools
title Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools
title_full Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools
title_fullStr Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools
title_full_unstemmed Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools
title_short Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools
title_sort lymph node imaging in patients with primary breast cancer: concurrent diagnostic tools
topic Breast Cancer
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011661/
https://www.ncbi.nlm.nih.gov/pubmed/32043792
http://dx.doi.org/10.1634/theoncologist.2019-0427
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