Necessity of Axillary Scanning After Negative Finding on Both Mammography and Subsequent Breast Ultrasound

Inyoung Youn, Jung Hyun Yoon, Ji Hyun Youk, Hee Jung Moon, Min Jung Kim, Eun Kyung Kim, Jai Kyung You

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The purpose of our study was to assess the cancer detection rate and positive predictive value (PPV) for incidentally detected abnormal axillary lymph nodes with negative mammography and subsequent breast ultrasound (US). We included 7039 screened patients (mean age, 52 y) from January 2012 to March 2015 with negative mammography and subsequent breast US results. In two patients with positive lymph nodes, neither were from breast malignancy. The calculated cancer detection rate, PPV for biopsy and axillary biopsy rate was 0.3 per 1000 axillary US, 14.3% and 0.2%. Cancer rates for patients with a family or personal operation history, with cancer history and with no family/operation/cancer history were 0%, 0.1% and 0.2%, respectively. Our results indicate that the cancer detection rate and PPV for US were too low to recommend routine axillary scanning including screening breast US in patients with negative mammography and subsequent breast US, especially with no history of any cancers.

Original languageEnglish
Pages (from-to)71-77
Number of pages7
JournalUltrasound in Medicine and Biology
Volume44
Issue number1
DOIs
Publication statusPublished - 2018 Jan

All Science Journal Classification (ASJC) codes

  • Biophysics
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

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