摘要
目的探讨乳腺癌前哨淋巴结活检的临床意义及在基层医院临床应用的可行性。方法采用亚甲蓝示踪60例乳腺癌患者前哨淋巴结,进行前哨淋巴结活检,随后进行腋窝淋巴结清扫。分析前哨淋巴结与根治性清扫腋窝淋巴结的关系。结果60例患者前哨淋巴结的检出率为91.7%,假阴性率为0%,准确率为100%;有4例检出后蓝染淋巴结。结论前哨淋巴结可以准确预测乳腺癌患者腋窝淋巴结的状况。前哨淋巴结活检替代腋窝淋巴结清扫是可行的。采用亚甲蓝示踪法进行乳腺癌前哨淋巴结活检适合基层医院开展。
Objective To study the clinical significance of sentinel lymph node biopsy for breast cancer and assess the feasibility of clinical application in primary hospital. Methods from February 2000 to October 2005,60 patients with breast cancer received sentinel lymph node biopsy guided by methylenc blue staining, and axillary lymph node clearance.Analyzing relation of sentinel lymph node and axillary lymph node. Results Sentinel lymph node were successfully identified in 55 of 60(91.7%)patients. The accuracy rate of sentinel lymph node biopsy to predict axillary lymph node status was 100%,with 0% false negative rate. Conclusions Sentinel lymph node biopsy is estremely accrtate in prediction of the axillary status in clinically nod negative breast cancer patients.
出处
《中国医药导报》
CAS
2006年第17期36-37,共2页
China Medical Herald
