CARACTERÍSTICAS ECOGRÁFICAS DE GANGLIOS AXILARES EN PACIENTES CON CÁNCER DE MAMA:
CORRELACIÓN RADIO-PATOLÓGICA.
Palabras clave:
GANGLIOS AXILARES, poster, seram, CÁNCER DE MAMAResumen
Objetivos
• Analizar la correlación existente entre las características ecográficas de ganglios axilares, siguiendo la clasificación de Bedi, en pacientes con cáncer de mama y los hallazgos histológicos.
• Reproducibilidad del estudio ACOSOG Z0011 en nuestra muestra.
Material y métodos
Hemos realizado un estudio retrospectivo de pacientes diagnosticadas de carcinoma de mama entre Enero de 2013 y Enero de 2014. Durante este periodo se diagnosticaron en nuestra unidad 96 nuevos cánceres, cuyos datos fueron obtenidos del PACS del hospital.
Se efectuó mamografía digital (doble proyección) y ecografía mamaria y axilar bilateral a todas las pacientes con sospecha clínica y/o radiológica de carcinoma derivadas a la unidad.
El estudio ecográfico se realizó con un ecógrafo de alta resolución modelo Antares (Siemens®, Erlangen, Alemania) y sonda lineal multifrecuencia de 15-5 MHz, con la paciente en decúbito supino o apoyada sobre el lado contralateral al que deseamos estudiar y ambos brazos elevados hacia la cabeza.
Descargas
Citas
Predicting the Extent of Nodal Disease in Early-Stage Breast Cancer. Abigail S. Caudle, MD. Annals of Surgical Oncology. May 24 2014.
Diagnostic value of preoperative axillary lymph node ultrasound assessment in patients with breast cancer qualified for sentinel node biopsy. Tomas Nowikiewicz. Videosurgery and Other Miniinvasive Techniques. June 2 2015.
Staging the axilla in woman with breast cancer: the utility of preoperative ultrasound-guided needle biopsy. Nehmat Houssami. Screening and Test Evaluation Program (STEP), School of public Health, Sydney Medical School, University of Sydney. Cancer Biology and Medicine. March 26 2014.
The Role of Ultrasound-Guided Lymph Node Biopsy in Axillary Staging of Invasive Breast Cancer in the Post-ACOSOG Z0011 Trial Era. N.C. Verheuvel, MSc, MD. Department of Surgery, Máxima Medical Center, Veldhoven. The Netherlands. Annals of Surgical Oncology. September 10 2014.
Estadificación ganglionar axilar prequirúrgica en el cáncer de mama: parámetros ecográficos y biopsia con aguja gruesa ecoguiada. M.Y.Torres Sousa. Servicio de Radiodiagnóstico, Hospital General Universitario de Ciudad Real, España. Radiología. May 11 2011.
Axillary Ultrasound and Fine-Needle Aspiration in the Preoperative Evaluation of the Breast Cancer Patient: An Algorithm Based on Tumor Size and Lymph Node Appearance. Martha B. Mainiero. AJR Women´s Imaging. November 2010.
Cortical Morphologic Features of Axillary Lymph Nodes as a Predictor of Metastasis in Breast Cancer: In vivo Sonographic Study. Deepak G. Bedi. AJR Women´s Imaging. September 2008.
Locoregional Recurrence After Sentinel Lymph Node Dissection With or WITHOUT Axillary Dissection in Patients With Sentinel Lymph Node Metastases. The American College of Surgeons Oncology Group Z0011 Randomized Trial. Armando E. Giuliano, MD. Annalsof Surgery. September 2010.
Axillary Ultrasonography in Breast Cancer Patients Helps IN Identifying Patients Preoperatively with Limited Disease of the Axilla. A.M. Moorman, MD. Department of Surgery and Radiology, Hospital Gropu Twente, Almelo, The Netherlands. Annals of Surgical Oncology. April 9 2014.
Impact of Axillary Ultrasound (AUS) on Axillary Dissection in Breast Conserving Surgery (BCS). Chantal Reyna, MD. Comprehensive Breast Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida. Journal of Surgical Oncology. 2015.
The Promise of Axillary Imaging in Individualized Surgical Management of Breast Cancer Patients: Another Step Forward. Tina J. Hieken, MD. Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN. Annals of Surgical Oncology. June 17 2014.
Sentinel Node Biopsy After Neoadjuvant Chemotherapy in Biopsy-Proven Node-Positive Breast Cancer: The SN FNAC Study. Jean-Francois Boileau. Journal of Clinical Oncology. December 1 2014.
To Do or Not to Do: Axillary Nodal Evaluation after ACOSOG Z0011 Trial. Kathryn L. Humphrey, MD. Radiographics 2014; 34:1807-1816.
New concepts in axillary management of breast cancer. Can Atalay. WJCO 5th Anniversary Special Issues: Breast cancer. World Journal of Clinical Oncology. December 10 2014.
Sentinel Node Biopsy Alone versus Completion Axillary Node Dissection in Node Positive Breast Cancer: Systematic Review and Meta-Analysis. Rachna Ram. International Journal of Breast Cancer. 14 October 2014.
