THE RELIABILITY OF AXILLARY NODE SAMPLING TO EVALUATE THE AXILLA IN THE MANAGEMENT OF INVASIVE BREAST CANCER
Yasser Abdel-Atty, M., El-Kased, A., Wahdan, W., Abdel-Kader, S., Asaad, N., Samir, N. (2004). THE RELIABILITY OF AXILLARY NODE SAMPLING TO EVALUATE THE AXILLA IN THE MANAGEMENT OF INVASIVE BREAST CANCER. EKB Journal Management System, 23(3), 270-274. doi: 10.21608/ejsur.2004.373748
Mohamed Yasser Abdel-Atty; Ahmed El-Kased; Waleed Wahdan; Saleh Abdel-Kader; Nancy Asaad; Naglaa Samir. "THE RELIABILITY OF AXILLARY NODE SAMPLING TO EVALUATE THE AXILLA IN THE MANAGEMENT OF INVASIVE BREAST CANCER". EKB Journal Management System, 23, 3, 2004, 270-274. doi: 10.21608/ejsur.2004.373748
Yasser Abdel-Atty, M., El-Kased, A., Wahdan, W., Abdel-Kader, S., Asaad, N., Samir, N. (2004). 'THE RELIABILITY OF AXILLARY NODE SAMPLING TO EVALUATE THE AXILLA IN THE MANAGEMENT OF INVASIVE BREAST CANCER', EKB Journal Management System, 23(3), pp. 270-274. doi: 10.21608/ejsur.2004.373748
Yasser Abdel-Atty, M., El-Kased, A., Wahdan, W., Abdel-Kader, S., Asaad, N., Samir, N. THE RELIABILITY OF AXILLARY NODE SAMPLING TO EVALUATE THE AXILLA IN THE MANAGEMENT OF INVASIVE BREAST CANCER. EKB Journal Management System, 2004; 23(3): 270-274. doi: 10.21608/ejsur.2004.373748

THE RELIABILITY OF AXILLARY NODE SAMPLING TO EVALUATE THE AXILLA IN THE MANAGEMENT OF INVASIVE BREAST CANCER

The Egyptian Journal of Surgery
Volume 23, Issue 3, July 2004, Page 270-274  XML PDF (143.05 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2004.373748
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Authors
Mohamed Yasser Abdel-Atty* 1; Ahmed El-Kased2; Waleed Wahdan3; Saleh Abdel-Kader3; Nancy Asaad4; Naglaa Samir5
1Surgery departments, Minoufia
2Surgery departments, Minoufia*
3Surgery departments, Ain-Shams
4Pathology departments, Minoufia
5Pathology departments, Ain-Shams
Abstract
Background: Arm morbidity such as arm edema, pain, numbness, weakness and impaired shoulder mobility are negative side effects of axillary clearance. Less invasive ways to establish the axillary nodal status are therefore of interest. 
Patients and methods: One hundred and eighty eight patients with breast cancer (clinical stage T0-3, N0-1, M0) were 
operated upon by either modified radical mastectomy or breast conserving surgery, in whom the axilla was subjected to fivenode biopsy followed in the same session by full axillary dissection in order to evaluate the accuracy of the five-node biopsy compared with full axillary dissection. 
Results: The sensitivity of the five-node biopsy was 96.2% with a negative predictive value of 97.3% and negative likelihood ratio of 0.04. 
Conclusion: Five-node biopsy of the axilla has good accuracy for staging the axilla. It could be considered as an alternative to sentinel node biopsy in centers not having the facilities for this procedure.
Keywords
Breast cancer; axillary dissection; axillary lymph nodes
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