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A practical approach to imaging the axilla.

V Dialani1, D F James, P J Slanetz

  • 1Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA, 02215, USA, vdialani@bidmc.harvard.edu.

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Accurate axillary anatomy knowledge is crucial for diagnosing axillary masses in breast cancer patients. Imaging, including mammography and ultrasound, guides diagnosis and management, often confirmed by biopsy.

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Axillary imaging is vital for patients with axillary symptoms or newly diagnosed breast cancer.
  • Understanding axillary anatomy is essential for accurate diagnosis and patient management.
  • A broad differential diagnosis exists for axillary masses, influenced by lesion location.

Purpose of the Study:

  • To review indications for axillary imaging.
  • To discuss scanning techniques and percutaneous interventions.
  • To present imaging findings and management of breast diseases involving the axilla.

Main Methods:

  • Diagnostic mammography and targeted ultrasound are primary imaging modalities.
  • Percutaneous interventions like Fine Needle Aspiration (FNA) or core needle biopsy are employed.
  • Review of imaging findings and established management protocols.

Main Results:

  • Knowledge of normal axillary anatomy aids in determining the etiology of an axillary mass.
  • Imaging evaluation typically involves mammography and ultrasound.
  • FNA and core needle biopsies are safe and accurate for diagnosis and guiding management.

Conclusions:

  • Comprehensive understanding of axillary anatomy and imaging is key for diagnosing axillary masses.
  • Ultrasound and mammography are essential for evaluating axillary lesions in breast cancer.
  • Biopsy methods like FNA and core needle biopsy provide accurate diagnoses and guide treatment.