早期乳腺癌前哨淋巴结活检的研究进展

选择合适的早期乳腺癌病人进行腋窝前哨淋巴结活检,可以减少由腋窝淋巴结清扫导致的并发症。因为腋窝前哨淋巴结活检的假阴性率低,故对前哨淋巴结阴性的病人可以不做进一步腋窝淋巴结清扫。对前哨淋巴结阳性的病人,标准治疗是进一步腋窝淋巴结清扫。腋窝淋巴结放疗可能在保证疗效的前提下,替代腋窝淋巴结清扫,降低由腋窝淋巴结清扫的并发症。

Advances in sentinel lymph node biopsy in early breast cancer

Sentinel lymph node (SLN) biopsy is a minimally invasive,sensitive tool for axillary staging in selective early breast cancer patients.Because the low false negative rate of SLN biopsy,the technique allows axillary lymph node dissection (ALND) avoided if the SLN is negative.If the SLN is positive,the standard treatment further ALND.Axillary radiation has comparable regional control rate with ALND and possible less morbidity rate than ALND for SLN positive patients.