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Article

Clinical Usefulness of Ultrasound-Guided Fine Needle Aspiration and Core Needle Biopsy for Patients with Axillary Lymphadenopathy

1
Department of Diagnostic Radiology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
2
Department of Radiology, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsugagun, Tochigi 321-0293, Japan
3
Department of Surgery, Breast Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
4
Department of Diagnostic Pathology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
5
Department of Breast Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, Japan
*
Author to whom correspondence should be addressed.
Academic Editors: Francois Corneli, Matthias Barral and Konstantinos Dimas
Medicina 2021, 57(7), 722; https://doi.org/10.3390/medicina57070722
Received: 21 May 2021 / Revised: 3 July 2021 / Accepted: 15 July 2021 / Published: 16 July 2021
(This article belongs to the Collection Interventional Oncology)
Background and Objectives: It is necessary to properly diagnose and manage axillary lymphadenopathy caused by a variety of diseases. This study aimed to evaluate the utility of ultrasound (US)-guided sampling in patients with axillary lymphadenopathy. Materials and Methods: Patients with axillary lymphadenopathy (excluding patients with newly diagnosed breast cancer) who underwent US-guided fine needle aspiration (FNA) or core needle biopsy (CNB) at a single center between February 2016 and September 2020 were retrospectively examined. The association between US imaging findings and malignancy was investigated and the diagnostic performance of US-guided sampling was assessed. Results: Fifty-five patients (including eight males) were included in the study; of these, 34 patients (61.8%) were finally diagnosed with a malignant lymph node lesion. Twenty-two patients (40.0%) had undergone FNA and 33 (60.0%) had undergone CNB. Larger short and long axis diameters, thicker lymph node cortex, and the absence of fatty hilum on the US were significantly associated with malignancy (p < 0.05). The diagnostic performance of FNA, CNB, and FNA + CNB was excellent (sensitivity, specificity, and accuracy of 0.909, 0.900, and 0.917 for FNA, 0.958, 1.000, and 0.970 for CNB, and 0.941, 0.952, and 0.945 for FNA + CNB, respectively). Conclusions: US-guided FNA and CNB play an important role in the diagnosis and management of patients with axillary lymphadenopathy. View Full-Text
Keywords: ultrasound; core needle biopsy; fine needle aspiration; axillary lymph nodes; lymphadenopathy ultrasound; core needle biopsy; fine needle aspiration; axillary lymph nodes; lymphadenopathy
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MDPI and ACS Style

Fujioka, T.; Mori, M.; Kubota, K.; Yamaga, E.; Yashima, Y.; Oda, G.; Nakagawa, T.; Onishi, I.; Ishiba, T.; Tateishi, U. Clinical Usefulness of Ultrasound-Guided Fine Needle Aspiration and Core Needle Biopsy for Patients with Axillary Lymphadenopathy. Medicina 2021, 57, 722. https://doi.org/10.3390/medicina57070722

AMA Style

Fujioka T, Mori M, Kubota K, Yamaga E, Yashima Y, Oda G, Nakagawa T, Onishi I, Ishiba T, Tateishi U. Clinical Usefulness of Ultrasound-Guided Fine Needle Aspiration and Core Needle Biopsy for Patients with Axillary Lymphadenopathy. Medicina. 2021; 57(7):722. https://doi.org/10.3390/medicina57070722

Chicago/Turabian Style

Fujioka, Tomoyuki, Mio Mori, Kazunori Kubota, Emi Yamaga, Yuka Yashima, Goshi Oda, Tsuyoshi Nakagawa, Iichiroh Onishi, Toshiyuki Ishiba, and Ukihide Tateishi. 2021. "Clinical Usefulness of Ultrasound-Guided Fine Needle Aspiration and Core Needle Biopsy for Patients with Axillary Lymphadenopathy" Medicina 57, no. 7: 722. https://doi.org/10.3390/medicina57070722

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