Ann Surg Oncol (2018) 25:2271–2278 https://doi.org/10.1245/s10434-018-6545-z OR IG INA L A R TIC L E – BREA S T O NC OLOG Y Routine Axillary Ultrasound for Patients with T1–T2 Breast Cancer Does Not Increase the Rate of Axillary Lymph Node Dissection Based on Predictive Modeling 1,2 2 2 2 Jennifer Wellington, MD , Thomas Sanders, PhD , Charles Mylander, PhD , Ashley Alden , Christine Harris, 3 2 2 2 2 2 MD , Robert Buras, MD , Lorraine Tafra, MD , Wen Liang, DO , Lacey Stelle, MD , Martin Rosman, MD , and Rubie Sue Jackson, MD, MPH 1 2 Walter Reed National Military Medical Center, Bethesda; Fortney Breast Center, Anne Arundel Medical Center, Annapolis; Surgery, Virginia Commonwealth University, Richmond ABSTRACT any other treatment model could decrease the rate of Background. Since publication of the American College ALND. of Surgeons Oncology Group Z0011 trial results, demon- Results. Using the routine AUS and the authors’ algo- strating that many patients with nonpalpable axillary lymph rithm, the predicted ALND rate was 9%, versus 10% for a nodes and one or two positive sentinel nodes do not require strategy of no AUS, with overlapping uncertainty intervals. axillary lymph node
Annals of Surgical Oncology – Springer Journals
Published: Jun 4, 2018
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