摘要
乳腺癌的手术治疗发生了巨大的变化,前哨淋巴结活检是其中之一。前哨淋巴结活检可准确评估区域淋巴结状态,从而避免在腋淋巴结阴性乳腺癌中行腋淋巴结清扫术,减少手术的并发症。乳腺癌前哨淋巴结术中病理学诊断是目前限制前哨淋巴结发展成为乳腺癌的手术规范的主要原因之一,如果能够进行准确地术中诊断,就可以避免再次手术。本文对乳腺癌前哨淋巴结的术中诊断的两种主要方法印片细胞学与冷冻切片的优缺点进行比较,回顾相关机构进行术中诊断的研究结果,并且对印片对诊断前哨淋巴结中存在的问题以及可能改进的方向进行初步的探讨。
The surgery of the breast cancer has dramatically changed,sedtinel lymph node（SLN）is one of the aspects.SLN biopsy can precisely predict the status of axillary basin.If the SLN is negative,the patients can spare the unnecessary axillary lymph node dissection（ALND）and reduce the morbidity of the surgery,One of the most important issues with sentinel node biopsy is the intraoperative pathological evaluation of the sentinel nodes.Accurate intraoperative pathological examination of sentinel nodes would enable the selcetion of candidates for ALND during the initial operation,climinating the need for second surgery.This article will review the tow techniques（touch imprint cytology and frozen section）employed for intraoperative examination of SLN and compare these two techniques（touch imprint cytology and frozen section）employed for intraoprative examination of SLN and compare these two methods.And evaluate the role of touch imprint cytolgy and existing problems in introperative diagnosis of the sentinel lymph nodes and raise the probably ways to improve the sensitivity of touch imprint cytology initially.
出处
《中国癌症杂志》
CAS
CSCD
2005年第5期490-493,共4页
China Oncology
关键词
乳腺癌
前哨淋巴结
印片细胞学
冷冻切片
breast cancer
sentinel lymph node
tuouch impriot cytology
frozen section
