国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
8期
547-549
,共3页
乳腺肿瘤%前哨淋巴结活组织检查%腋窝淋巴结清扫术%亚甲蓝
乳腺腫瘤%前哨淋巴結活組織檢查%腋窩淋巴結清掃術%亞甲藍
유선종류%전초림파결활조직검사%액와림파결청소술%아갑람
Breast neoplasms%Sentinel lymph node biopsy%Axillary lymph node excision%Methylene blue
目的 探讨分析前哨淋巴结活检术在乳腺癌手术中的应用价值及存在的问题.方法 回顾分析皖南医学院弋矶山医院甲乳外科2012年1月-2013年12月确诊为早期乳腺癌并使用亚甲蓝染色法行前哨淋巴结活检的100例女性患者的病例资料,对前哨淋巴结及腋窝淋巴结的病理结果进行对比分析.结果 100例患者中,92例可见SLN,成功率92％,共检出前哨淋巴结217个,每例1～6枚,平均2.4枚,92例均行ALND.其中,SLN阴性ALN阴性的58例,SLN阴性ALN阳性的4例,SLN阳性ALN阳性的30例,所有患者没有出现过敏反应.SLNB的假阳性率为0,假阴性率为11.8％,灵敏度88.3％,特异度100％,诊断符合率为95.7％.结论 SLNB在早期乳腺癌手术中较传统的ALND有明显的优势,对于SLN阴性的病例可不行ALND.
目的 探討分析前哨淋巴結活檢術在乳腺癌手術中的應用價值及存在的問題.方法 迴顧分析皖南醫學院弋磯山醫院甲乳外科2012年1月-2013年12月確診為早期乳腺癌併使用亞甲藍染色法行前哨淋巴結活檢的100例女性患者的病例資料,對前哨淋巴結及腋窩淋巴結的病理結果進行對比分析.結果 100例患者中,92例可見SLN,成功率92％,共檢齣前哨淋巴結217箇,每例1～6枚,平均2.4枚,92例均行ALND.其中,SLN陰性ALN陰性的58例,SLN陰性ALN暘性的4例,SLN暘性ALN暘性的30例,所有患者沒有齣現過敏反應.SLNB的假暘性率為0,假陰性率為11.8％,靈敏度88.3％,特異度100％,診斷符閤率為95.7％.結論 SLNB在早期乳腺癌手術中較傳統的ALND有明顯的優勢,對于SLN陰性的病例可不行ALND.
목적 탐토분석전초림파결활검술재유선암수술중적응용개치급존재적문제.방법 회고분석환남의학원익기산의원갑유외과2012년1월-2013년12월학진위조기유선암병사용아갑람염색법행전초림파결활검적100례녀성환자적병례자료,대전초림파결급액와림파결적병리결과진행대비분석.결과 100례환자중,92례가견SLN,성공솔92％,공검출전초림파결217개,매례1～6매,평균2.4매,92례균행ALND.기중,SLN음성ALN음성적58례,SLN음성ALN양성적4례,SLN양성ALN양성적30례,소유환자몰유출현과민반응.SLNB적가양성솔위0,가음성솔위11.8％,령민도88.3％,특이도100％,진단부합솔위95.7％.결론 SLNB재조기유선암수술중교전통적ALND유명현적우세,대우SLN음성적병례가불행ALND.
Objective To analysis the application value and the existing problems of sentinel lymph node biopsy in breast cancer surgery.Methods Pathological findings were retrospectively analysised in 100 female cases of breast cancer,who were diagnosed with early breast cancer and used blue dye in sentinel lymph node biopsy.Results Among 100 cases,92 cases were found SLNS,that the detected rate was 92％.Detected 217 sentinel lymph node,every case has 1 to 6 node,with the average of 2.4.Nintg-two cases were performed ALND.Among them,the SLNS negative detected 58 cases of ALN feminine,SLNS negative ALN detected positive 4 cases,30 cases of SLNS positive ALN positive detected.All of the patients did not appear allergic reaction.SLNB false positive rate of O,the false negative rate was 11.8％,sensitivity 88.3％,specific degree of 100％,the diagnostic coincidence rate was 95.7％.Conclusions Compared with the conventional axillary lymph node dissection,the sentinel lymph node biopsy has obvious advantages in early breast cancer surgery.For the cases of sentinel lymph node negative,there was no necessary to do the axillary lymph node dissection.
