实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2015年
9期
1335-1338
,共4页
张月%王耀一%孙光源%孙健
張月%王耀一%孫光源%孫健
장월%왕요일%손광원%손건
乳腺癌%乳腔镜%前哨淋巴结活检%淋巴结清扫
乳腺癌%乳腔鏡%前哨淋巴結活檢%淋巴結清掃
유선암%유강경%전초림파결활검%림파결청소
Breast cancer%Endoscopy%Sentinel lymph node biopsy( ESLNB)%Axillary lymph node dissection( ALND)
目的:分析腔镜下前哨淋巴结活检合并腋窝淋巴结清扫的可行性及临床意义。方法对80例早期乳腺癌患者应用亚甲蓝示踪法淋巴结染色,并在乳腔镜下行前哨淋巴结活检(ESLNB)及腋窝淋巴结清扫(EALND)。将前哨淋巴结病理结果与腋窝淋巴结清扫后的病理结果比较,评价两者的符合情况。结果80例中73例检出前哨淋巴结,检出率91.3%(73/80)。前哨淋巴结活检准确率为97.3%(71/73),灵敏度为88.2%(15/17),特异度为100.0%(56/56)。结论乳腔镜下前哨淋巴结活检及腋窝淋巴结清扫可行性高,并发症低,损伤小,可较准确地掌握早期乳腺癌的腋窝淋巴结转移情况。
目的:分析腔鏡下前哨淋巴結活檢閤併腋窩淋巴結清掃的可行性及臨床意義。方法對80例早期乳腺癌患者應用亞甲藍示蹤法淋巴結染色,併在乳腔鏡下行前哨淋巴結活檢(ESLNB)及腋窩淋巴結清掃(EALND)。將前哨淋巴結病理結果與腋窩淋巴結清掃後的病理結果比較,評價兩者的符閤情況。結果80例中73例檢齣前哨淋巴結,檢齣率91.3%(73/80)。前哨淋巴結活檢準確率為97.3%(71/73),靈敏度為88.2%(15/17),特異度為100.0%(56/56)。結論乳腔鏡下前哨淋巴結活檢及腋窩淋巴結清掃可行性高,併髮癥低,損傷小,可較準確地掌握早期乳腺癌的腋窩淋巴結轉移情況。
목적:분석강경하전초림파결활검합병액와림파결청소적가행성급림상의의。방법대80례조기유선암환자응용아갑람시종법림파결염색,병재유강경하행전초림파결활검(ESLNB)급액와림파결청소(EALND)。장전초림파결병리결과여액와림파결청소후적병리결과비교,평개량자적부합정황。결과80례중73례검출전초림파결,검출솔91.3%(73/80)。전초림파결활검준학솔위97.3%(71/73),령민도위88.2%(15/17),특이도위100.0%(56/56)。결론유강경하전초림파결활검급액와림파결청소가행성고,병발증저,손상소,가교준학지장악조기유선암적액와림파결전이정황。
Objective To evaluate the feasⅠBility and clinical significance of endoscopic sentinel lymph node biopsy ( ESLNB) and axillary lymph node dissection( ALND) in breast cancer.Methods 80 patients with stage ⅠorⅡbreast cancer received methylene blue lymph node staining,ESLNB and endoscopic axillary lymph node dissection(EALND).Pathological ex-amination results of ESLNB and EALND were compared and analyzed.Results Among 80 patients,the SLN detection rate was 91.3%(73/80),the accuracy rate was 97.3%(71/73),sensitivity rate was 88.2%(15/17),specificity rate was 100%(56/56) .Conclusion ESLNB and ALND are accurate and reliable with little complication and small trauma.It can provide accurate lymph node stages.