Radiologic mapping for targeted axillary dissection: Needle biopsy to excision

Kyungmin Shin, Abigail S. Caudle, Henry M. Kuerer, Lumarie Santiago, Rosalind P. Candelaria, Basak Dogan, Jessica Leung, Savitri Krishnamurthy, Wei Yang

Research output: Contribution to journalArticle

12 Scopus citations


Objective. The purpose of this article is to describe the feasibility and safety of a multidisciplinary approach to imaging-guided axillary staging that facilitates personalized, less invasive surgical management of the axilla through targeted axillary dissection in patients with biopsy-proven nodal metastasis undergoing neoadjuvant chemotherapy. CONCLUSION. Axillary nodal status, critical in breast cancer staging, affects prognosis and treatment. As the paradigm shifts toward minimally invasive therapy, a clip marker is placed in the biopsied metastatic node for patients with N1-N2 disease undergoing neoadjuvant chemotherapy to facilitate targeted axillary dissection of the clipped node. This node is typically localized with a radioactive seed at sentinel lymph node dissection to determine whether further axillary surgery is warranted.

Original languageEnglish (US)
Pages (from-to)1372-1379
Number of pages8
JournalAmerican Journal of Roentgenology
Issue number6
Publication statusPublished - Dec 1 2016



  • Axillary lymph node
  • Breast
  • Breast cancer
  • Radioactive seed
  • Targeted axillary dissection
  • Ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Shin, K., Caudle, A. S., Kuerer, H. M., Santiago, L., Candelaria, R. P., Dogan, B., ... Yang, W. (2016). Radiologic mapping for targeted axillary dissection: Needle biopsy to excision. American Journal of Roentgenology, 207(6), 1372-1379.