Ultrasonography evaluation of axillary lymph nodes in patients with breast cancer
Chang Ying
Yang Jingchun
Leng Zhenpeng
Wang Ping
Abstract：Objective To investigate the predictive value of color doppler ultrasound for node metastases of breast cancer axillary lymph.Methods The collection of Xuanwu Hospital of Capital Medical University in 2011 January to 2014 December,236 female patients with breast cancer who underwent surgical treatment; clinical data of patients with axillary lymph node metastasis was analyzed retrospectively.Ultrasonic detection included tumour size,ratio of length and breadth,edge features(spiculations),classification and type of color doppler flow imaging; peak systolic velocity; resistance index and status of axillary lymph node were recorded.Results All 236 cases were female patients.The results of operation showed that 115 cases had axillary lymph node metastasis and 121 cases had no metastasis.The analysis of axillary lymph nodes metastases showed:tumor size ＞ 3 cm(OR =10.767,P =0.000),tumor location (mammary areolar region) and multiple tumor foci (OR =4.092,P =0.004) were risk factors of axillary lymph nodes metastases.Spicule sign(OR =2.120,P =0.006),grade of blood flow (OR =4.030,P =0.007),type of blood vessel(OR =3.051,P =0.008) and the numbers of axillary lymph node (OR =2.687,P =0.001) were the factors for evaluating the correlated with axillary lymph node metastases.Conclusions Breast cancer with axillary lymph node metastasis is associated with multiple factors,such as tumor size,location and numbers.For judgment of axillary lymph node metastase in patients with primary breast cancer,the position of tumour,type of blood and number of axillary lymph node detected by ultrasound are associated with axillary lymph node metastasis.
Keywords：Breast neoplasmsLymphatic metastasisUltrasonography
Publication Date：2014-12-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1797-1801 )