Breast Cancer
Conditions
Keywords
Breast cancer, Sentinel lymph node biopsy, Ultrasonography, Fine needle aspiration
Brief summary
* This is a phase II, prospective, single-center, non-randomized, non-controlled study. * Sentinel lymph node biopsy (SNB) is a standard staging procedure in early breast cancer. The potentially increasing false negative rate of SNB was concerned if the sonographic abnormal node was not excised. The aim of this study was to evaluate the accuracy of SNB in breast cancer with sonographic abnormal axillary lymph nodes.
Interventions
Before the sentinel lymph node biopsy (SLNB) operation, a hookwire was placed at the suspicious axillary lymph node by ultrasound guidance to localize the abnormal node. In the SLNB operation, radioactive nodes and wire-localized nodes were removed and labeled separately for pathological examination.
Sponsors
Study design
Eligibility
Inclusion criteria
* histologically confirmsed primary breast cancer by core neelde biopsy or excisional biospy * abnormal axillary lymph node was found by ultrasound examination before SLNB (abnormal nodes were defined as completely hypoechoic node, asymmetric focal hypoechoic node, cortical lobulation and cortical thickness \>3mm) * ultrasound-guided FNA cytology of these nodes were performed * the result of FNA cytology was negative (no tumour cell was found) * patient planed to perform SLNB
Exclusion criteria
* pathological diagnosed ductal carcinoma in situ by excisional biospy * abnormal axillary lymph node was found by ultrasound examination but FNA cytology of these nodes were not performed * the result of FNA cytology was positive (tumour cell was found) * T4d tumour * patient has recieved neo-adjuvant system therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| False negative rate of sentinel node biopsy if sonographic abnormal node not be removed | one week after sentinel node biopsy |
Countries
China