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Parks R, Cheung K. Axillary reverse mapping in N0 patients requiring sentinel lymph node biopsy – A systematic review of the literature and necessity of a randomised study. Breast 2017; 33:57-70. [DOI: 10.1016/j.breast.2017.02.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Revised: 01/26/2017] [Accepted: 02/27/2017] [Indexed: 10/20/2022] Open
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Kutomi G, Ohmura T, Satomi F, Takamaru T, Shima H, Suzuki Y, Otokozawa S, Zembutsu H, Mori M, Hirata K. Lymph node shape in computed tomography imaging as a predictor for axillary lymph node metastasis in patients with breast cancer. Exp Ther Med 2014; 8:681-685. [PMID: 25009640 PMCID: PMC4079443 DOI: 10.3892/etm.2014.1787] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 05/28/2014] [Indexed: 11/16/2022] Open
Abstract
The aim of the present study was to evaluate whether preoperative computed tomography (CT) is a useful modality for the diagnosis of axillary lymph node metastasis. The axillary lymph node status was examined in patients with primary breast cancer who had undergone surgery. In total, 75 patients were analyzed with preoperative contrast CT images, following which the patients underwent an intraoperative sentinel lymph node biopsy to determine possible predictors of axillary lymph node metastasis. The lymph node shape was classified into three groups, which included fat-, clear-and obscure-types. Multivariate analysis revealed that clear-type lymph nodes in preoperative contrast CT imaging may be an independent predictor of lymph node metastasis (odds ratio, 15; P=0.003). Therefore, the results indicated that preoperative CT examination is useful to predict axillary lymph node metastasis.
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Affiliation(s)
- Goro Kutomi
- First Department of Surgery, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan
| | - Tousei Ohmura
- First Department of Surgery, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan
| | - Fukino Satomi
- First Department of Surgery, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan
| | - Tomoko Takamaru
- First Department of Surgery, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan
| | - Hiroaki Shima
- First Department of Surgery, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan
| | - Yasuyo Suzuki
- First Department of Surgery, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan
| | - Seiko Otokozawa
- Department of Public Health, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8556, Japan
| | - Hitoshi Zembutsu
- First Department of Surgery, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan
| | - Mitsuru Mori
- Department of Public Health, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8556, Japan
| | - Koichi Hirata
- First Department of Surgery, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido 060-8543, Japan
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