Table 3 Diagnostic performance of physical examination, different sonomorphological malignancy criteria and fine-needle aspiration cytology for lymph node evaluation in breast cancer follow-up
Sensitivity | Specificity | Positive predictive value | Negative predictive value | |
|---|---|---|---|---|
Physical examination | 52.4 % | 88.2 % | 84.6 % | 60 % |
Sonomorphological malignancy criteria | ||||
Lymph node enlargement: | ||||
- longitudinal > 2.0 cm | 71.4 % | 47.1 % | 62.5 % | 57.1 % |
- transversal > 1.5 cm | 28.6 % | 88.2 % | 75 % | 50 % |
Round shape (longitudinal/transversal ratio <2) | 66.7 % | 23.5 % | 51.8 % | 36.4 % |
Loss of fatty hilum | 76.2 % | 29.4 % | 57.1 % | 50 % |
Eccentric hilum | 19 % | 88.2 % | 66.7 % | 46.9 % |
Thickened cortex | 23.8 % | 58.8 % | 41.7 % | 38.5 % |
Fine-needle aspiration cytologya | 100 % | 100 % | 100 % | 100 % |