中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
17期
141-143,144
,共4页
前哨淋巴结活检%乳腺癌%腋窝淋巴结
前哨淋巴結活檢%乳腺癌%腋窩淋巴結
전초림파결활검%유선암%액와림파결
Sentinel lymph node biopsy%Breast cancer%Axillary lymph node
目的:研究前哨淋巴结活检(SLNB)在乳腺癌手术中的应用。方法:回顾性分析本院2011年6月-2014年6月间收治的28例行乳腺癌手术患者的临床资料,于术前2~4 h在肿瘤下方或瘤床内注射0.4 mL/37MBq放射性物质99mTc_DX,术中用r探测仪定位并切除前哨淋巴结(SLN),再行乳腺肿瘤切除及腋窝淋巴结(ALN)清扫。首先对SLN及ALN进行常规HE检测,再行免疫组织化学(1HC)检测及逆转录多聚酶链反应(RT-PCR)检测细胞角蛋白19(CKl9)mRNA的表达以检测淋巴结的微转移。结果:本次研究的检出率为100%,共检出43枚前哨淋巴结。18例患者有1枚,5例2枚、5例3枚。腋窝淋巴结共检出67枚。患者经HE染色检测后发现4例发生转移;利用印片细胞学对患者前哨淋巴结的阴阳性进行判断,经检查后发现阳性5例,阴性23例。结论:乳腺癌SLNB是可行的,SLN可以预测ALN的转移情况,它在保乳方面起到了重要作用,并且有利于判断是否为患者行腋窝淋巴结清扫,值得推广使用。
目的:研究前哨淋巴結活檢(SLNB)在乳腺癌手術中的應用。方法:迴顧性分析本院2011年6月-2014年6月間收治的28例行乳腺癌手術患者的臨床資料,于術前2~4 h在腫瘤下方或瘤床內註射0.4 mL/37MBq放射性物質99mTc_DX,術中用r探測儀定位併切除前哨淋巴結(SLN),再行乳腺腫瘤切除及腋窩淋巴結(ALN)清掃。首先對SLN及ALN進行常規HE檢測,再行免疫組織化學(1HC)檢測及逆轉錄多聚酶鏈反應(RT-PCR)檢測細胞角蛋白19(CKl9)mRNA的錶達以檢測淋巴結的微轉移。結果:本次研究的檢齣率為100%,共檢齣43枚前哨淋巴結。18例患者有1枚,5例2枚、5例3枚。腋窩淋巴結共檢齣67枚。患者經HE染色檢測後髮現4例髮生轉移;利用印片細胞學對患者前哨淋巴結的陰暘性進行判斷,經檢查後髮現暘性5例,陰性23例。結論:乳腺癌SLNB是可行的,SLN可以預測ALN的轉移情況,它在保乳方麵起到瞭重要作用,併且有利于判斷是否為患者行腋窩淋巴結清掃,值得推廣使用。
목적:연구전초림파결활검(SLNB)재유선암수술중적응용。방법:회고성분석본원2011년6월-2014년6월간수치적28례행유선암수술환자적림상자료,우술전2~4 h재종류하방혹류상내주사0.4 mL/37MBq방사성물질99mTc_DX,술중용r탐측의정위병절제전초림파결(SLN),재행유선종류절제급액와림파결(ALN)청소。수선대SLN급ALN진행상규HE검측,재행면역조직화학(1HC)검측급역전록다취매련반응(RT-PCR)검측세포각단백19(CKl9)mRNA적표체이검측림파결적미전이。결과:본차연구적검출솔위100%,공검출43매전초림파결。18례환자유1매,5례2매、5례3매。액와림파결공검출67매。환자경HE염색검측후발현4례발생전이;이용인편세포학대환자전초림파결적음양성진행판단,경검사후발현양성5례,음성23례。결론:유선암SLNB시가행적,SLN가이예측ALN적전이정황,타재보유방면기도료중요작용,병차유리우판단시부위환자행액와림파결청소,치득추엄사용。
Objective:To study the application of sentinel lymph node biopsy in breast cancer operation.Method:The clinical data of 28 cases of breast cancer patients in our hospital from June 2011 to June 2014 were retrospectively analyzed,in the preoperative 2-4 h in tumor or tumor bed below the injection of 0.4 mL/37MBq radioactive substances 99mTc_DX,R detector was used tolocate and remove the sentinel lymph node,then breast tumor excision andaxillary lymph node cleaning. The first routine HE testing on SLN and ALN,andimmunohistochemistry(1HC)test and reverse transcription polymerase chain reaction(RT-PCR)detection of cytokeratin 19(CKl9)mRNA expression in thedetection of lymph node micrometastasis.Result:The detection rate was 100%,a total of 43 pieces of sentinel lymph node detection. 18 patients had 1,5 cases of 2,5 cases of 3. 67 axillary lymph nodes were detected. After HE staining detection found that 4 patients with metastatic.Using printing slice cytology of sentinel lymph node in patients with masculine,through inspection and found positive in 5 cases,23 cases of negative.Conclusion:Breast cancer SLNB is feasible,the transfer of SLNS could predict ALN detected,it played an important role in protect milk,and is conducive to determine whether patients with axillary lymph node cleaning,use to be promoted.