{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T15:02:13Z","timestamp":1770822133135,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,11,12]],"date-time":"2009-11-12T00:00:00Z","timestamp":1257984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background:\u2002<\/jats:bold> The aims of this study were to evaluate the accuracy of preoperative ultrasound and ultrasound\u2010guided fine needle aspiration (FNA) cytology (US\u2010FNAC) for detecting axillary metastases, and to assess how often sentinel node biopsy could be avoided.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> Axillary ultrasound, as a part of routine preoperative staging, was performed in 189 patients with histologically proven breast cancer. US\u2010FNAC was performed on all lymph nodes (LNs) with features suggestive of metastatic disease on ultrasound characteristics and LNs larger than 1\u2003cm regardless of whether the nodes appear normal or abnormal. The cytologic results were compared with the final histological diagnosis.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> The sensitivity, specificity and positive and negative predictive values of the ultrasound alone of axillary LNs for metastatic breast cancer were 54, 91, 75 and 81%, retrospectively. For the US\u2010FNAC, the respective values were 80, 98, 97 and 84%.<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> Preoperative axillary ultrasound in combination with US\u2010FNAC provides a simple, minimally invasive and reliable approach to the initial determination of the axillary LN status. Those who are US\u2010FNAC positive can be referred for axillary LN dissection without sentinel LN biopsy.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2009.05090.x","type":"journal-article","created":{"date-parts":[[2009,11,12]],"date-time":"2009-11-12T08:59:43Z","timestamp":1258016383000},"page":"271-275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Accuracy of preoperative ultrasound and ultrasound\u2010guided fine needle aspiration cytology for axillary staging in breast cancer"],"prefix":"10.1111","volume":"80","author":[{"given":"Jinhyang","family":"Jung","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoyong","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiyoung","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyejung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,3,22]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19831101)52:9<1551::AID-CNCR2820520902>3.0.CO;2-3"},{"key":"e_1_2_7_3_2","first-page":"245","article-title":"Rationale for routine axillary dissection in carcinoma of the breast","volume":"180","author":"Ruffin WK","year":"1995","journal-title":"J. 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