CAJ | 학술논문

目的：：探讨Kodama法在乳腺癌Auchincloss术中清扫LEVELⅢ淋巴结的可行性及意义。方法：对68例女性初治可手术乳腺癌患者，在Auchincloss术基础上，加行Kodama法清扫LEVELⅢ淋巴结，并单独标记送病检，对该组淋巴结转移率及临床相关因素进行统计学分析。结果：LEVELⅢ淋巴结转移率为30.88％。与LEVELⅢ淋巴结转移阳性率差异均无统计学意义的因素有患者的年龄、病理类型和肿瘤数目(P>0.05)；与LEVELⅢ淋巴结转移阳性率差异均有统计学意义的因素有肿瘤的大小、患侧腋窝淋巴结状态、TNM分期和分子分型(P<0.05)。结论：对淋巴结转移高危因素乳腺癌患者行Auchincloss术时，加行Kodama法清扫腋窝LEVELⅢ淋巴结是必要且安全可行的。
목적：：탐토Kodama법재유선암Auchincloss술중청소LEVELⅢ림파결적가행성급의의。방법：대68례녀성초치가수술유선암환자，재Auchincloss술기출상，가행Kodama법청소LEVELⅢ림파결，병단독표기송병검，대해조림파결전이솔급림상상관인소진행통계학분석。결과：LEVELⅢ림파결전이솔위30.88％。여LEVELⅢ림파결전이양성솔차이균무통계학의의적인소유환자적년령、병리류형화종류수목(P>0.05)；여LEVELⅢ림파결전이양성솔차이균유통계학의의적인소유종류적대소、환측액와림파결상태、TNM분기화분자분형(P<0.05)。결론：대림파결전이고위인소유선암환자행Auchincloss술시，가행Kodama법청소액와LEVELⅢ림파결시필요차안전가행적。
Objective:To investigate the feasibility and significance of Kodama lymphadenectomy in cleaning LEVELⅢlymph nodes in Auchincloss operation for breast carcinoma. Methods:Sixty-eight breast cancer patients were treated with Auchincloss operation combined with cleaning LEVEL Ⅲ lymph nodes using Kodama method. The metastatic rate of LEVEL Ⅲ axillary lymph nodes and its related factors were analyzed. Results:The metastatic rate of LEVEL Ⅲ axillary lymph nodes was 30. 88%. There were not significant correlations between LEVELⅢaxillary lymph node metastasis and age,number of tumor and histological type( P>0. 05). There were significant correlations between LEVEL Ⅲ axillary lymph node metastasis and tumor size,TNM stage and molecular type(P<0. 05). Conclusions:Auchincloss operation combined with cleaning LEVELⅢlymph nodes using Kodama method in treating breast carcinoma patients is necessary,feasible and safe.