Lymph Node Imaging in Patients with Primary Breast Cancer: Concurrent Diagnostic Tools

Author:

Marino Maria Adele1,Avendano Daly2,Zapata Pedro3,Riedl Christopher C.4,Pinker Katja45

Affiliation:

1. Department of Biomedical Sciences and Morphologic and Functional Imaging, Policlinico Universitario G. Martino, University of Messina, Messina, Italy

2. Department of Breast Imaging, Breast Cancer Center TecSalud, Instituto Tecnológico de Estudios Superiores (ITESM) Monterrey, Nuevo Leon, Mexico

3. Department of Radiology, San Felipe de Jesus Hospital, Monterrey, Nuevo Leon, Mexico

4. Breast Imaging Service, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA

5. Molecular and Gender Imaging Service, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria

Abstract

Abstract The detection of lymph node metastasis affects the management of patients with primary breast cancer significantly in terms of staging, treatment, and prognosis. The main goal for the radiologist is to determine and detect the presence of metastatic disease in nonpalpable axillary lymph nodes with a positive predictive value that is high enough to initially select patients for upfront axillary lymph node dissection. Features that are suggestive of axillary adenopathy may be seen with different imaging modalities, but ultrasound is the method of choice for evaluating axillary lymph nodes and for performing image-guided lymph node interventions. This review aims to provide a comprehensive overview of the available imaging modalities for lymph node assessment in patients diagnosed with primary breast cancer.

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Oncology

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