Axillary node fine needle aspiration cytology was performed prior to a
xillary clearance from 100 axillae in 99 women with breast cancer (1 b
ilateral). Only 25 samples contained sufficient cells for assessment:
12 were positive for malignant cells and 13 contained benign lymphoid
elements. In cellular aspirates, sensitivity was 69%, positive predict
ive value 92% and negative predictive value 62%. Owing to the low rate
s of cellularity, this technique cannot be recommended for routine pra
ctice.