乳腺癌术中保留肋间臂神经的可行性病理学观察
유선암술중보류륵간비신경적가행성병이학관찰
Feasibility study of preserving intercostobrachial nerve during dissection for breast carcinoma: evidences from a preliminary pathologic exploration
  • 万方数据
    中华医学杂志 중화의학잡지
    National Medical Journal of China
    2010年 32期 2263-2265 ,共3页

    郑桓%胡潺潺%史小丹%赵三平%邰智慧%李明%吴春涛%朱红成%王文雅%徐卫国

    정환%호잔잔%사소단%조삼평%태지혜%리명%오춘도%주홍성%왕문아%서위국

    乳腺肿瘤%淋巴结切除术%病理学%肋间臂神经 乳腺腫瘤%淋巴結切除術%病理學%肋間臂神經
    유선종류%림파결절제술%병이학%륵간비신경
    Breast neoplasms%Lymph node excision%Patholog%Intercostobrachial nerve
    目的 探讨乳腺癌术中保留肋间臂神经(ICBN)的可行性.方法 选取华北煤炭医学院附属医院肿瘤外科2004年6月至2006年6月间99例(其中包括15例保留ICBN失败者)手术切除的ICBN及周围组织,采用HE染色方法,观察切除的神经及周围组织的病理变化.结果 99例手术切除的ICBN中96例(96.97%)在镜下观察可见神经细胞完整未受侵犯,神经周围组织中未见癌组织浸润.28例伴腋窝淋巴结肿大患者中,3例(10.71%)与神经紧邻的脉管内可见到癌栓存在.结论 病理学观察结果表明,乳腺癌术中保留ICBN具有可行性.应该提倡并大力推广保留ICBN的乳腺癌手术.
    목적 탐토유선암술중보류륵간비신경(ICBN)적가행성.방법 선취화북매탄의학원부속의원종류외과2004년6월지2006년6월간99례(기중포괄15례보류ICBN실패자)수술절제적ICBN급주위조직,채용HE염색방법,관찰절제적신경급주위조직적병리변화.결과 99례수술절제적ICBN중96례(96.97%)재경하관찰가견신경세포완정미수침범,신경주위조직중미견암조직침윤.28례반액와림파결종대환자중,3례(10.71%)여신경긴린적맥관내가견도암전존재.결론 병이학관찰결과표명,유선암술중보류ICBN구유가행성.응해제창병대력추엄보류ICBN적유선암수술.
    Objective To determine the feasibility of preservation of intercostobrachial nerve (ICBN) in breast cancer. Methods During June 2004 to June 2006, 99 patients with operable breast cancer receiving an axillary lymph node dissection at our department were analyzed. The extirpated ICBN and ambient tissues were tested by HE staining to observe the pathological changes. Results In 96(96. 97% ) cases with ICBN sacrificing, the nerves were not violated microscopically and the nerve cells remained intact. Of 28 patients with axillary lymphadenectasis, only 3 cases (10.71%) were found to have tumor emboli in the peri-neural vessels. Conclusion The preservation of ICBN is a feasible and safe technique. The operative approach should be advocated. If at all possible, a surgeon should identify ICBN and preserve it.
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