Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 7, Number 6, June 2015, pages 440-445


Preoperative Assessment of the Axilla by Surgeon Performed Ultrasound and Cytology in Patients With Breast Cancer

Figures

Figure 1.
Figure 1. Study protocol. FNAC: fine needle aspiration cytology; SLNB: sentinel lymph node biopsy; SLNB(?): sentinel lymph nodes not found; TP: true positive; FP: false positive; TN: true negative; FN: false negative.
Figure 2.
Figure 2. Results of US, FNAC, SLNB and final pathology of patients with breast cancer. FNAC: fine needle aspiration cytology; SLNB: sentinel lymph node biopsy; SLNB(?): sentinel lymph nodes not found.

Tables

Table 1. Statistical Measures of the Performance of Axillary Ultrasound (US) Alone When Compared With Final Pathology
 
US results (N = 93)PerformanceDefinitionPatientsStatistical measures
PPV: positive predictive value; NPV: negative predictive value; FNAC: fine needle aspiration cytology; SLNB: sentinel lymph node biopsy. SLNB(?): sentinel lymph nodes not found.
US(+): 38True positiveUS(+), FNAC(+) or SLNB(+), pathology(+)23Sensitivity: 63.8%
False positiveUS(+), FNAC(-) and SLNB(?), pathology(-)15Specificity: 73.6%
US(-): 55True negativeUS(-), SLNB(-) or SLNB(?), pathology(-)42Accuracy: 69.8%
False negativeUS(-), SLNB(+) or SLNB(?), pathology(+)13NPV: 76.3%
PPV: 60.5%

 

Table 2. Statistical Measures of the Performance of FNAC in Patients With Positive Axillary Ultrasound (US) When Compared With Final Pathology
 
US(+) (N = 38)PerformanceDefinitionPatientsStatistical measures
PPV: positive predictive value; NPV: negative predictive value; FNAC: fine needle aspiration cytology; SLNB: sentinel lymph node biopsy. SLNB(?): sentinel lymph nodes not found.
FNAC(+): 16True positiveFNAC(+), pathology(+)16Sensitivity: 69.6%
False positiveFNAC(+), pathology(-)0Specificity: 100%
FNAC(-): 22True negativeFNAC(-), SLNB(-) or SLNB(?), pathology(-)15Accuracy: 81.6%
False negativeFNAC(-), SLNB(+) or SLNB(?), pathology(+)7NPV: 68.1%
PPV: 100%