摘要
目的:通过前哨淋巴结的检测(SLNB)来预测腋窝淋巴结有无转移,决定手术的方法和范围,避免不必要的腋窝淋巴结清扫(ALND)。方法:将2004年2月～2008年5月住院手术治疗的女性原发性乳腺癌患者152例。年龄再39～70岁之间。行前哨淋巴结检测,将2%亚甲蓝注射液4ml 注射到肿块周围3、6、9、12四点上,15～30min 后,行前哨淋巴结切除病检。结果:病理检查发现前哨淋巴结阳性者75例,阴性者70例,假阴性4例,7例未检出。前哨淋巴结预测腋窝淋巴结的准确率141/145(97.2%)。结论:通过 SLNB 来预测腋窝淋巴结有无转移,并决定手术的方法和范围是行之有效,准确、简捷的一个方法。
Objective ：To predict whether the LND（ axillary lymph nodes） has metastasized by the SLNB （sentinel lymph node detection） without unnecessary ALND（ axillary lymph node scanning）, then to decide the ways and the ranges of the operation. Methods： 152 original breast cancer cases at the age of 39 - 70 were cured at hospital by operation in Febrary 2004 -May 2008, 2% Yajialan injecta 4ml have been injected to the cases at 3, 6, 9, 12 popints of the Romps. After 15 - 30 rain cot out and checked the LNB（ sentinel lymph node）. Results： 75 cases were found positive by the pathological test, 70 cases were negative and, 4 cases were false negative. 7 cases were not checked. The accuracy of the prediction through the SLNB is 141/145（97.2% ）. Conclusion： SLNB is an effective, precise and simple way to predict whether the LND has metastasized and decide the method and range of the operation.
出处
《中国医药导刊》
2008年第5期677-677,679,共2页
Chinese Journal of Medicinal Guide
关键词
乳腺癌
前哨淋巴结
检测
Breast cancer
Sentinel lymph node detection（SLNB）
