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 journalArticlepeer-review

19 Scopus citations

Abstract

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
Volume207
Issue number6
DOIs
StatePublished - Dec 2016

Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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