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Ultrasound for postoperative surveillance after mastectomy in patients with breast cancer: A retrospective study.

Abstract This study aimed to evaluate the clinical usefulness of postoperative surveillance by ultrasound (PSU) in patients after breast cancer surgery.In this retrospective study, 324 patients with breast cancer after mastectomy were included between January 2006 and December 2008. The final-positive lesions (FPL) were diagnosed according to the results of cytopathology, clinical and imaging examinations. The outcome evaluations included the sensitivity (SS), specificity (SC), ultrasound accuracy for FPL (UAFPL), and positive predictive value (PPV) after the mastectomy.A total of 5117 ultrasound examinations were conducted for all those patients to the December 2016. After mastectomy, the SS, SC, UAFPL, and PPV were as follows: mastectomy bed (SS, 100.0%; SC, 99.7%; UAFPL, 99.7%; and PPV, 36.0%), contralateral breast (SS, 100.0%; SC, 99.0%; UAFPL, 99.0%; and PPV, 25.4%), ipsilateral axillary or supraclavicular (SS, 91.7%; SC, 99.4%; UAFPL, 99.4%; and PPV, 25.6%), and contralateral axilla or supraclavicular lymph nodes (SS, 100.0%; SC, 99.9%; UAFPL, 99.9%; and PPV, 33.3%).In summary, we demonstrated that applied PSU can detect the malignant lesions in the breast regional area with high sensitivity, specificity and accuracy.
PMID
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Authors

Mayor MeshTerms

Mastectomy

Ultrasonography

Keywords
Journal Title medicine
Publication Year Start




PMID- 29384910
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 52
DP  - 2017 Dec
TI  - Ultrasound for postoperative surveillance after mastectomy in patients with
      breast cancer: A retrospective study.
PG  - e9244
LID - 10.1097/MD.0000000000009244 [doi]
AB  - This study aimed to evaluate the clinical usefulness of postoperative
      surveillance by ultrasound (PSU) in patients after breast cancer surgery.In this 
      retrospective study, 324 patients with breast cancer after mastectomy were
      included between January 2006 and December 2008. The final-positive lesions (FPL)
      were diagnosed according to the results of cytopathology, clinical and imaging
      examinations. The outcome evaluations included the sensitivity (SS), specificity 
      (SC), ultrasound accuracy for FPL (UAFPL), and positive predictive value (PPV)
      after the mastectomy.A total of 5117 ultrasound examinations were conducted for
      all those patients to the December 2016. After mastectomy, the SS, SC, UAFPL, and
      PPV were as follows: mastectomy bed (SS, 100.0%; SC, 99.7%; UAFPL, 99.7%; and
      PPV, 36.0%), contralateral breast (SS, 100.0%; SC, 99.0%; UAFPL, 99.0%; and PPV, 
      25.4%), ipsilateral axillary or supraclavicular (SS, 91.7%; SC, 99.4%; UAFPL,
      99.4%; and PPV, 25.6%), and contralateral axilla or supraclavicular lymph nodes
      (SS, 100.0%; SC, 99.9%; UAFPL, 99.9%; and PPV, 33.3%).In summary, we demonstrated
      that applied PSU can detect the malignant lesions in the breast regional area
      with high sensitivity, specificity and accuracy.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Liu, Yu-Qing
AU  - Liu YQ
AD  - Department of Anatomy, Mudanjiang Medical University, Mudanjiang.
AD  - Department of Ultrasound, Inner Mongolia Forestry General Hospital, Hulunbeier.
FAU - Dong, Jia-Nan
AU  - Dong JN
AD  - Department of Rehabilitation Laboratory, Mudanjiang Medical University.
FAU - Meng, Qing-Xin
AU  - Meng QX
AD  - Department of Ultrasound, The Second Affiliated Hospital of Mudanjiang Medical
      University, Mudanjiang, China.
FAU - Sun, Ping
AU  - Sun P
AD  - Department of Anatomy, Mudanjiang Medical University, Mudanjiang.
FAU - Zhang, Jing
AU  - Zhang J
AD  - Department of Anatomy, Mudanjiang Medical University, Mudanjiang.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Breast Neoplasms/*diagnostic imaging/*surgery
MH  - Carcinoma/*diagnostic imaging/*surgery
MH  - China
MH  - Female
MH  - Humans
MH  - *Mastectomy
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Sensitivity and Specificity
MH  - Treatment Outcome
MH  - *Ultrasonography
EDAT- 2018/02/01 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1097/MD.0000000000009244 [doi]
AID - 00005792-201712290-00018 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(52):e9244. doi: 10.1097/MD.0000000000009244.