CAJ | 학술논문

目的：探讨前哨淋巴结转移阳性对非前哨淋巴结转移的预测效能。方法选择前哨淋巴结活检的乳腺癌患者共157例，检测前哨淋巴结转移情况，并分析前哨淋巴结转移阳性对非前哨淋巴结转移的预测效能。结果157例患者共检出前哨淋巴结341枚，共发现转移的前哨淋巴结87枚。共清除非前哨淋巴结2281枚，发现转移共301枚。非前哨淋巴结假阴性率为9.76%（8/82），其敏感度为95.12%（78/82），特异性为87.23%（81/94），准确度为87.26%（137/157）。结论前哨淋巴结转移阳性对非前哨淋巴结转移具有较好的预测效能。
목적：탐토전초림파결전이양성대비전초림파결전이적예측효능。방법선택전초림파결활검적유선암환자공157례，검측전초림파결전이정황，병분석전초림파결전이양성대비전초림파결전이적예측효능。결과157례환자공검출전초림파결341매，공발현전이적전초림파결87매。공청제비전초림파결2281매，발현전이공301매。비전초림파결가음성솔위9.76%（8/82），기민감도위95.12%（78/82），특이성위87.23%（81/94），준학도위87.26%（137/157）。결론전초림파결전이양성대비전초림파결전이구유교호적예측효능。
Objective To investigate the effectiveness of predicting non-sentinel lymph node metastasis by sentinel lymph node metasta-sis. Methods A total of 157 cases of sentinel lymph node biopsy were collected and the detection of sentinel lymph node metastasis was taken. Analysis of sentinel lymph node metastasis for non-sentinellymph node metastasis prediction was undertaken. Results 341 sentinel lymph node were found in the 157 patients,87 were found in the sentinel lymph node metastasis. A total of 2281 non-sentinel lymph nodes were cleared,and a total of 301 were found transferred. False negative rate of non-sentinel lymph node was 9. 76%(8/82),with the sensitivity of 95. 12%(78/82),a specificity of 87. 23%(81/94)and the accuracy rate was 87. 26%(137/157). Conclusion The sentinel lymph node metastasis has bet-ter predictive performance to non sentinel lymph nodemetastasis.