scholarly journals ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORT

2021 ◽  
Vol 20 (1) ◽  
pp. 149-154
Author(s):  
V. M. Snitkin ◽  
A. V. Samoukin ◽  
V. N. Sholokhov ◽  
G. T. Sinyukova ◽  
S. N. Berdnikov ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Diagnostic Imaging ◽  
Lymph Nodes ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Fine Needle ◽  
Pet Ct ◽  
Parasternal Lymph Node

Background. The parasternal lymphatic collector is an important pathway of the lymph drainage from the breast in breast cancer patients. Evaluation of parasternal lymph nodes is not available during physical examination. To date, no algorithm for diagnostic imaging of the parasternal lymphatic pathway has been developed. The presence of metastases in parasternal lymph nodes upstages the breast cancer patient to a minimum of clinical stage III disease.Case description. We present the case of breast cancer progression in a 40-year-old woman. The patient received treatment for triple-negative stage IIA breast cancer (Т2N0M0) in 2018. In August, 2019, 18-FDG PET /CT images revealed a solitary metastasis in the parasternal lymph node. Ultrasound images also showed the same lymph node assessed by PET -CT and the additional parasternal lymph node metastasis. A fine-needle aspiration biopsy of both lymph nodes confirmed the specific involvement of the parasternal lymph nodes.Conclusion. Ultrasound scans are used to assess the axillary, subclavian and supraclavicular lymphatic collectors, but there is little evidence in the literature on the use of ultrasound in the assessment of parasternal lymph nodes. Our clinical case shows the feasibility of using ultrasound in assessing the status of the parasternal of lymph nodes, as well as the feasibility of performing fine-needle aspiration biopsy by ultrasound navigation.

Nonimage-Guided Fine Needle Aspiration Biopsy of Palpable Axillary Lymph Nodes in Breast Cancer Patients

2011 ◽  
Vol 18 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Jennifer L. Marti ◽  
Diego Ayo ◽  
Pascale Levine ◽  
Osvaldo Hernandez ◽  
John Rescigno ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymph Nodes ◽  
Cancer Patients ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Axillary Lymph Nodes ◽  
Axillary Lymph ◽  
Breast Cancer Patients ◽  
Fine Needle

scholarly journals Cystic lymph node metastasis in papillary thyroid carcinoma

Medicina ◽  
2008 ◽  
Vol 44 (6) ◽  
pp. 455 ◽  
Author(s):  
Edita Mišeikytė-Kaubrienė ◽  
Mantas Trakymas ◽  
Albertas Ulys
Keyword(s):  
Lymph Node ◽  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Lymph Nodes ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Papillary Thyroid ◽  
Ultrasound Guided ◽  
Fine Needle

Background. Thyroid cancer, especially papillary carcinoma, metastasizes most often into cervical lymph nodes. Cervical ultrasound and ultrasound-guided fine-needle aspiration biopsy are the most sensitive modalities in detecting locoregional neck recurrence. Objective. The aim of this study was to illustrate the ultrasound spectrum of lymph node metastases from papillary thyroid carcinoma. Patients and methods. During 1998–2002 years due to suspicion of recurrence of thyroid cancer, 75 ultrasound-guided fine-needle aspiration biopsies of regional lymph nodes were performed. Ultrasound examination of 75 patients with thyroid cancer (56 women and 19 men; mean age of patients was 54.67±12.89 years) was performed. All biopsies were performed on nonpalpable lesions (lymph node short axis £1.5 cm). Results. A total of 75 ultrasound-guided fine-needle aspiration biopsies of regional lymph nodes under suspicion of malignancy were performed. Only 5 (6.7%) of the 75 lymph nodes were cystic with internal septation. Other 70 (93.3%) lymph nodes were solid. Cytopathological results of 75 ultrasound-guided fine-needle aspiration biopsies from regional cervical lymph nodes were noninformative in 4 (5.3%) cases, benign – 40 (53.4%), suspicion – 4 (5.3%), and malignant – 27 (36.0%) cases. Eighteen patients underwent surgery for regional lymph nodes. All cystic metastases were confirmed to be papillary thyroid carcinoma on pathologic examination. Conclusion. Ultrasound cannot exactly distinguish benign from malign lesions, but sonographic appearance can suggest malignancy and help in selection of the correct lymph nodes to aspirate with ultrasound-guided fine-needle aspiration biopsy. Cystic lymph node metastases may occur in papillary thyroid carcinoma. Cystic neck lesion patients with thyroid papillary carcinoma should always be verified with fine-needle aspiration biopsy.

scholarly journals Shortcomings of ultrasound-guided fine needle aspiration in the axillary management of women with breast cancer

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Michel Attieh ◽  
Faek Jamali ◽  
Ghina Berjawi ◽  
Mothana Saadeldine ◽  
Fouad Boulos
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Fine Needle Aspiration ◽  
Axillary Lymph Node ◽  
Needle Aspiration ◽  
Axillary Lymph ◽  
Node Dissection ◽  
Ultrasound Guided ◽  
Fine Needle

Abstract Background Ultrasound, along with ultrasound-guided fine needle aspiration, is currently used for the axillary evaluation of breast cancer patients in order to identify candidates for axillary lymph node dissection. The aim of this study is to evaluate the accuracy of this tool in correctly identifying patients who may or may not benefit from axillary clearance in light of the ACOSOG Z0011 trial recommendations. Methods One hundred one patients (65 with positive US-FNA with corresponding axillary lymph node dissection (ALND), and 36 with negative US-FNA with corresponding ALND/sentinel lymph node biopsy) were studied for the number of involved axillary lymph nodes, tumor clinicopathologic features, and axillary radiologic findings. Results From the positive US-FNA group, 43% of patients had two or fewer positive lymph nodes upon ALND pathologic examination. In the US-FNA negative group, the negative predictive value for detecting axillary disease was 72.7%. With both groups combined, the sensitivity, specificity, PPV, and NPV of US-FNA for selecting patients based on axillary disease burden were 86%, 51.7%, 57%, and 83.3%, respectively. Conclusion Based on Z0011 guidelines, US-FNA is not a reliable tool in triaging patients in need for ALND and leads to overtreatment of 43% patients when positive, while depriving a small but significant percentage of patients from necessary therapy, when negative.

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