Source:http://linkedlifedata.com/resource/pubmed/id/12736105
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2003-5-8
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pubmed:abstractText |
Currently, breast cancer patients without clinically suspicious lymph nodes are candidates for sentinel lymph node procedures (SLNPs). The aims of this study were to investigate whether preoperative axillary ultrasonography and fine-needle aspiration cytology (FNA) can reduce the number of the more time-consuming SLNPs, and to identify a subset of quantitative nodal features to predict metastatic involvement. 268 axillae were ultrasonographically examined. FNA was performed on suspicious nodes (smallest diameter > or =5 mm or atypical cortex appearance). SLNP was omitted if a tumour-positive node was found on FNA. Length, width, maximum cortex thickness and appearance of cortex and hilus were ultrasonographically established. In 93 axillae (35%), at least one node was detected with ultrasound. FNA was performed once per axilla on 66 nodes; 37 (56%) contained tumour cells. 31% of all tumour-positive axillae (macro-+micrometastases) was found by ultrasound and FNA (37/121). 41% of all axillae containing macrometastases was found by ultrasound and FNA (36/87). SLNPs were reduced by 14% (37/268). Maximum cortex thickness is the main feature to predict metastatic involvement (area under Receiver Operating Characteristic (ROC) curve (A(Z))=0.87).
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1068-73
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:12736105-Adult,
pubmed-meshheading:12736105-Aged,
pubmed-meshheading:12736105-Aged, 80 and over,
pubmed-meshheading:12736105-Axilla,
pubmed-meshheading:12736105-Biopsy, Needle,
pubmed-meshheading:12736105-Breast Neoplasms,
pubmed-meshheading:12736105-Female,
pubmed-meshheading:12736105-Humans,
pubmed-meshheading:12736105-Lymph Node Excision,
pubmed-meshheading:12736105-Lymphatic Metastasis,
pubmed-meshheading:12736105-Middle Aged,
pubmed-meshheading:12736105-Preoperative Care,
pubmed-meshheading:12736105-ROC Curve,
pubmed-meshheading:12736105-Sentinel Lymph Node Biopsy
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pubmed:year |
2003
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pubmed:articleTitle |
Reduction in the number of sentinel lymph node procedures by preoperative ultrasonography of the axilla in breast cancer.
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pubmed:affiliation |
Department of Radiology, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. deur@nki.nl
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pubmed:publicationType |
Journal Article
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