Page 37
allied
academies
February 25-26, 2019 | Paris, France
13
th
World Cancer Congress
Journal of Medical Oncology and Therapeutics | Volume 4
Breast Cancer staging with Ultrasound – Nodal Basin Assessment
Megan Kalambo
University of Texas, USA
T
he prognosis of patients with breast cancer is determined
in large part by the stage of disease at diagnosis. The
TNM staging system for breast cancer takes into account
the size of the primary tumor (T), involvement of regional
lymph nodes (N), and the presence or absence of distant
metastases (M). At our institution, all patients with breast
cancer undergo whole breast ultrasound for locoregional
staging. Whole-breast sonography is performed to evaluate
for multifocal or multicentric disease. In addition, the
regional nodal basins, including the axillary, infraclavicular,
supraclavicular, and internal mammary regions, are scanned.
Metastatic adenopathy in these areas may upstage disease
and influence prognosis. Clinical management and treatment
decisions may be altered by ultrasound detection of nodal
disease.
The objectives of this lecture session include:
1) A brief review of updated breast cancer staging by AJCC
8th edition
2) A review of regional noal basin assesment with ultrasound
3) A review of anatomic classificatin of regional lymph nodes
4) A review of the role of US guided biopsy of indeterminate
regional lymph nodes.
e:
mkalambo@mdanderson.orgNotes: