
Journal Basic Info
- Impact Factor: 2.395**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Thoracic Surgery
- Colon and Rectal Surgery
- Plastic Surgery
- Surgical Oncology
- General Surgery
- Bariatric Surgery
- Minimally Invasive Surgery
- Pediatric Surgery
Abstract
Citation: Clin Surg. 2018;3(1):2005.Research Article | Open Access
Profiles of Axillary Lymphadenopathy without Breast Lesions: An Analysis of 62 Patients Who Underwent Axillary Lymph Nodes Biopsies
Toshihisa Ogawa, Noriaki Hayashibara, Ei-ichi Tsuji, Mariko Oya, Keiko Kubota and Kotoe Nishioka
Department of Breast Surgery, Dokkyo Medical University, Japan
Department of Breast and Endocrine Surgery, University of Tokyo, Japan
*Correspondance to: Toshihisa Ogawa
PDF Full Text DOI: 10.25107/2474-1647.2005
Abstract
Background: Although axillary lymph node metastasis from breast cancer is a common disease that breast surgeons encounter, clinical and pathological characteristics of axillary lymphadenopathy without breast pathology are not fully clarified.Methods: We conducted an analysis of 62 patients who had no breast lesions radiologically and underwent axillary lymph node biopsy in our institutes between 2002 to 2015.Results: Of the 62 patients, 21 (34%) patients had benign lymph nodes including non-specific reactive lymphadenopathy, Epstein - Barr virus infection (3 patients), ectopic breast fibro adenoma (3 patients), and tuberculosis (1 patient). Of 62 patients, 41 (66%) had malignant lymphadenopathy including 24 patients of metastasis with metastasis from other organs and 17 patients with lymphomas. Of the 24 patients with metastasis, 10 patients had occult breast cancer. Lymph node diameters in lymphoma were greater than in the other disease. We should take account of lymphoma when lymph nodes are greater than 30 mm in diameter.
Conclusion: Since 66% of patients with axillary lymphadenopathy had general malignant disease, biopsy for axillary lymphadenopathy should be needed to establish pathological diagnosis and to initiate treatment for malignant disease without delay.
Keywords
Axillary lymph node; Lymphadenopathy; Biopsy
Cite the article
Ogawa T, Hayashibara N, Ei-ichi Tsuji, Oya M, Kubota K, Nishioka K. Profiles of Axillary Lymphadenopathy without Breast Lesions: An Analysis of 62 Patients Who Underwent Axillary Lymph Nodes Biopsies. Clin Surg. 2018; 3: 2005.