The Efficacy of Axillary Ultrasound in the Detection of Nodal Metastasis in Breast Cancer

Abstract

Axillary ultrasound has a low negative predictive value and negative ultrasound results do not exclude axillary node metastases with sufficient sensitivity to justify its routine clinical use. Clinical pathways need to consider an evidence-based approach, focusing on the criteria by which we select breast cancer patients for ALND.