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Axillary Tumour Burden in Women With a Fine-Needle Aspiration/Core Biopsy-Proven Positive Node on Ultrasonography Compared to Women With a Positive Sentinel Node

from British Journal of Surgery

The sensitivity of axillary ultrasonography has increased in recent years, enabling detection of even low-volume axillary nodal metastases. The aim here was to evaluate the axillary tumor burden in women with a fine-needle aspiration/core biopsy-proven positive node on axillary ultrasonography and in those with a positive sentinel node biopsy. Patients with axillary ultrasonography-detected metastases had a higher axillary tumour burden than those with sentinel node biopsy-detected metastases. Around 40 percent of patients with axillary ultrasonography-detected nodal disease had one or two nodes with macrometastases and were thus overtreated by axillary lymph node dissection. more

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