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I read with interest, the article in Journal of Ayub Medical College titled ‘Diagnostic accuracy of US-FNAC of axillary lymph nodes in patients with primary breast cancer using Sentinel lymph node biopsy as standard reference.1I agree with the authors that ultrasound guided needle biopsy is an effective way to triage patients with newly diagnosed breast cancer and suspected axillary lymph nodes,for deciding whether they need axillary lymph node dissection (ALND) or not. ALND has significant complications.2,3 At our institute the practice is to perform ultrasound guided core biopsy of the suspicious axillary lymph node rather than fine needle aspiration cytology (FNAC). We usually use 18-gauge needle for obtaining the cores. If the core biopsy turns out negative then the patient undergoes sentinel lymph node biopsy (SLNB) at the time of surgery for definitive evaluation of the axilla. This algorithm is also shown in the figure 3 of the above-mentioned article
Kulsoom Fatima, . (2019) ULTRASOUND GUIDED AXILLARY LYMPH NODE BIOPSY IN BREAST CANCER PATIENTS, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 31, Issue 4.
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