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乳腺癌前哨淋巴结活检的临床意义
引用本文:康华峰,王西京,刘小旭,代志军,薛锋杰,薛兴欢.乳腺癌前哨淋巴结活检的临床意义[J].陕西医学杂志,2005,34(10):1195-1196,1206.
作者姓名:康华峰  王西京  刘小旭  代志军  薛锋杰  薛兴欢
作者单位:西安交通大学医学院第二附属医院肿瘤外科,西安,710004
摘    要:目的:研究乳腺癌前哨淋巴结(SLN)活检方法,探讨SLN对腋窝淋巴结状态的预测价值及其临床意义。方法:95例早期乳腺癌患者,采用亚甲蓝为示踪剂行SLN定位活检,继行腋窝淋巴结清扫。结果:SLN检出成功率为97.89%(93/95);准确性为97.85%(91/93);灵敏性为91.67%(22/24);假阴性率为8.33%(2/24);特异性为100%(71/71)。结论:蓝染料乳晕区皮下注射SLN定位活检成功率高,能较准确地预测腋窝淋巴结状态。

关 键 词:乳腺肿瘤/诊断  前哨淋巴结活组织检查
收稿时间:2005-01-18
修稿时间:2005-01-18

Sentinel lymph node biopsy in breast cancer and its clinical significance
Kang HuaFeng;Wang XiJing;Liu XiaoXu;Dai ZhiJun;Xue FengJie;Xue XingHuan.Sentinel lymph node biopsy in breast cancer and its clinical significance[J].Shaanxi Medical Journal,2005,34(10):1195-1196,1206.
Authors:Kang HuaFeng;Wang XiJing;Liu XiaoXu;Dai ZhiJun;Xue FengJie;Xue XingHuan
Institution:Xi'an 710004
Abstract:Objective: To study the method of sentinel lymph nodes (SLN) biopsy in breast cancer, and to study the value of SLN in predicting the condition of axillary nodes and its clinical significance. Methods: 95 cases of T1~2 breast cancer patients with clinical node-negative underwent intraoperative lymphatic mapping with blue dye, then a complete axillary node dissection were performed. Results: SLN was successfully identified in 97.85% (91/93) patients, accuracy rate was 97.85% (91/93), sensitivity rate was 91.67% (22/24), and apecifity rate was 100%(71/71). Conclusion: Intraoperative lymphatic mapping with blue dye could accurately identify SLN, and SLN biopsy can accurately predict the condition of axillary nodes.
Keywords:Breast neoplasms/diagnosis  Sentinel lymph node biopsy
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