Abstract Background: Prompt evaluation of unilateral axillary lymphadenopathy may be challenging. Though it is most commonly caused by benign disorders, it may be the first sign of breast cancer. Aim of Study: To assess the diagnostic performance of strain elastography in the evaluation of unilateral axillary lymphadenopathy and whether it can improve the reliability of conventional ultrasound and avoid unnecessary interven-tional procedures. Patients and Methods: This study included 77 female patients who were referred from the surgical outpatient clinic for the evaluation of unilateral, clinically palpable axillary lymphadenopathy. Gray scale ultrasound and strain elastog-raphy were performed, and final categorization of lymph nodes was done individually. The results were then compared to the histopathology results, sparing those who were catego-rized by imaging as non-specific lymph nodes, for whom follow-up was performed. Results: In this prospective study, 51/77 (66.2%) lymph nodes were non-specific or reactive, and 26/77 (33.8%) lesions were malignant or metastatic. In comparison to strain elastog-raphy, which had a sensitivity of 86.36% and a specificity of 65.45%, and overall accuracy of 71.43%, ultrasound results analysis had a greater sensitivity of 92.7% and a comparable specificity of 64.3%, and a greater overall accuracy of 74.03%. Conclusions: Strain elastography can be used as a com-plementary imaging tool to ultrasound examination in the evaluation of unilateral axillary lymphadenopathy. Guided by the patient's clinical data, it can increase our confidence in the diagnosis, allowing for short-interval follow-up with a subsequent reduction in the rate of interventional procedures.
OMNIA ABDEL FATTAH, M.Sc., S. F. M., & F. KAMAL, M.D., E. (2022). Can Strain Elastography Improve the Diagnosis of Unilateral Axillary Lymphadenopathy?. The Medical Journal of Cairo University, 90(9), 1371-1376. doi: 10.21608/mjcu.2022.264493
MLA
SHERIHAN FAKHRY, M.D.; OMNIA ABDEL FATTAH, M.Sc.; EMAN F. KAMAL, M.D.. "Can Strain Elastography Improve the Diagnosis of Unilateral Axillary Lymphadenopathy?". The Medical Journal of Cairo University, 90, 9, 2022, 1371-1376. doi: 10.21608/mjcu.2022.264493
HARVARD
OMNIA ABDEL FATTAH, M.Sc., S. F. M., F. KAMAL, M.D., E. (2022). 'Can Strain Elastography Improve the Diagnosis of Unilateral Axillary Lymphadenopathy?', The Medical Journal of Cairo University, 90(9), pp. 1371-1376. doi: 10.21608/mjcu.2022.264493
VANCOUVER
OMNIA ABDEL FATTAH, M.Sc., S. F. M., F. KAMAL, M.D., E. Can Strain Elastography Improve the Diagnosis of Unilateral Axillary Lymphadenopathy?. The Medical Journal of Cairo University, 2022; 90(9): 1371-1376. doi: 10.21608/mjcu.2022.264493