Feasibility of Ultrasound-Guided Localization for Clipped Metastatic Axillary Lymph Nodes After Neoadjuvant Chemotherapy in Breast Cancer Patients: A Pilot Study.

IF 2.2 4区 医学 Q3 ONCOLOGY Journal of Breast Cancer Pub Date : 2023-02-01 DOI:10.4048/jbc.2023.26.e6
Haejung Kim, Eun Young Ko, Boo-Kyung Han, Eun Sook Ko, Ji Soo Choi, Jeong Eon Lee, Soo Youn Cho
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Abstract

We present our initial experience of ultrasound (US)-guided localization of clipped metastatic axillary lymph nodes (LNs) following neoadjuvant chemotherapy (NAC). We evaluated US visibility and the successful excision rate of clipped LN after NAC in 29 consecutive patients with breast cancer. US-guided localization of clipped nodes was performed in 22 patients on the day of surgery, while seven patients underwent surgery without localization. The clips were identified in all patients with residual metastatic LNs and 6 of 12 (50%) patients without residual metastatic LNs on US. Six patients without visible clips underwent US-guided localization at the presumed previous clip insertion site. The successful excision rate of 22 LNs with localization was 100% (even though 3 of them were non-sentinel LNs) and 57% (4/7) without localization. Regardless of the presence of visible residual metastatic LNs on US after NAC, successful excision of the clipped LN with US-guided localization is feasible.

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超声引导定位乳腺癌患者新辅助化疗后夹住的转移性腋窝淋巴结的可行性:一项初步研究。
我们介绍了超声(US)引导下定位新辅助化疗(NAC)后夹住的转移性腋窝淋巴结(LNs)的初步经验。我们评估了29例连续的乳腺癌患者NAC术后淋巴结切除术的成功率。22例患者在手术当天进行了美国引导的夹夹淋巴结定位,7例患者未进行定位。在所有有残余转移性LNs的患者和12例无残余转移性LNs的患者中有6例(50%)发现了clip。6名没有可见夹子的患者在假定的先前夹子插入位置进行了美国引导定位。22例有定位的淋巴结切除成功率为100%(其中3例为非前哨淋巴结),无定位的淋巴结切除成功率为57%(4/7)。无论NAC后淋巴结上是否存在可见的残余转移性淋巴结,在超声引导下成功切除切除的淋巴结是可行的。
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来源期刊
Journal of Breast Cancer
Journal of Breast Cancer 医学-肿瘤学
CiteScore
3.80
自引率
4.20%
发文量
43
审稿时长
6-12 weeks
期刊介绍: The Journal of Breast Cancer (abbreviated as ''J Breast Cancer'') is the official journal of the Korean Breast Cancer Society, which is issued quarterly in the last day of March, June, September, and December each year since 1998. All the contents of the Journal is available online at the official journal website (http://ejbc.kr) under open access policy. The journal aims to provide a forum for the academic communication between medical doctors, basic science researchers, and health care professionals to be interested in breast cancer. To get this aim, we publish original investigations, review articles, brief communications including case reports, editorial opinions on the topics of importance to breast cancer, and welcome new research findings and epidemiological studies, especially when they contain a regional data to grab the international reader''s interest. Although the journal is mainly dealing with the issues of breast cancer, rare cases among benign breast diseases or evidence-based scientifically written articles providing useful information for clinical practice can be published as well.
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