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乳腺癌前哨淋巴结活检对腋窝淋巴结转移的临床意义
引用本文:陶冀,赵庆均,付永清,庞达.乳腺癌前哨淋巴结活检对腋窝淋巴结转移的临床意义[J].黑龙江医学,2002,26(4):256-257.
作者姓名:陶冀  赵庆均  付永清  庞达
作者单位:1. 哈尔滨市第五医院普外科,黑龙江,哈尔滨,150040
2. 哈尔滨医科大学第三临床医学院腹外二科,黑龙江,哈尔滨,150040
摘    要:目的 评价前哨淋巴结活检 (SLND)对预测乳腺癌腋窝淋巴结转移 (ALN)的价值。方法 本组 30例原发乳腺癌患者 ,术前ALN阴性 ,术中注入美蓝 ,前哨淋巴结活检 ;随后行腋窝淋巴结清扫 (ALND) ,术后行SLND、ALN连续病理切片检查。结果  30例患者中 ,2 9例检测到SLN ,其中 2 8例的SLN可准确预测腋窝淋巴结转移 (ALNM)状态 ;假阴性率 11 1% ,总敏感性是 88 9% ,准确性是 96 6 %。结论 应用美蓝淋巴结定位方法进行SLND可以准确预测原发乳腺癌患者腋窝淋巴结转移的状态

关 键 词:乳腺癌  前哨淋巴结  腋窝淋巴结转移
文章编号:1004-5775(2002)04-0256-02
修稿时间:2001年1月16日

Clinical Significance of Skirmish Lymph Node of Mammary Carcinoma for Axillary Lymph Node Metastasis
TAO Ji,ZHAO Qing-jun,FU Yong-qing,et al..Clinical Significance of Skirmish Lymph Node of Mammary Carcinoma for Axillary Lymph Node Metastasis[J].Heilongjiang Medical Journal,2002,26(4):256-257.
Authors:TAO Ji  ZHAO Qing-jun  FU Yong-qing  
Abstract:Objective To assess the value of skirmish lymph node detection (SLND) to predict the axillary lymph node (ALN) metastasis of mammary carcinoma. Methods 30 cases of primary mammary carcinoma patients with ALN negative preoperation were injected methylene blue and taken SLND, then ALN was eliminated. The pathological section of SLN and ALN were detected after operation. Results 29 of 30 cases were detected with SLN, among them 28 cases SLN had predicted ALN metastasis. The false negative rate was 11.1%. The total sensitive rate was 88.9%. The veracity was 96.6%. Conclusion The lymph node orientation with methylene blue to detect SLND might predict the status of metastasis of ALN in mammary carcinoma exactly.
Keywords:Mammary carcinoma  Skirmish lymph node  Axillary lymph node metastasis
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