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乳腺癌前哨淋巴结活检研究现状及进展
引用本文:陈翔,王水. 乳腺癌前哨淋巴结活检研究现状及进展[J]. 中国普外基础与临床杂志, 2011, 18(1): 98-102
作者姓名:陈翔  王水
作者单位:1. 南京医科大学第一附属医院普外科,江苏南京,210029;江苏省宜兴市人民医院普外科,江苏宜兴,214200
2. 南京医科大学第一附属医院普外科,江苏南京,210029
摘    要:目的探讨乳腺癌前哨淋巴结活检(SLNB)技术的研究现状和进展。方法复习近年来国内、外的有关文献,对乳腺癌SLNB的定位、检取、状态评估、适应证和并发症进行分析与综述。结果乳腺癌SLNB能够准确定位、检取前哨淋巴结(SLN)。影像学检查和病理检测技术的发展有助于SLN状态的评估,SLNB的适应证正在不断扩大。该技术并发症少,能够准确判定腋窝分期,指导选择性的腋窝淋巴结清扫。结论 SLNB技术已成为乳腺癌外科治疗的重要手段,但其操作尚需进一步规范,以降低假阴性的发生;假阳性和有争议的适应证问题仍需继续关注。

关 键 词:乳腺癌  腋窝淋巴结清扫  前哨淋巴结活检  假阴性  假阳性

Current Status and Advances of Sentinel Lymph Node Biopsy in Breast Cancer
CHEN Xiang,WANG Shui. Current Status and Advances of Sentinel Lymph Node Biopsy in Breast Cancer[J]. Chinese Journal of Bases and Clinics In General Surgery, 2011, 18(1): 98-102
Authors:CHEN Xiang  WANG Shui
Affiliation:CHEN Xiang1,2,WANG Shui1.1.Department of General Surgery,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,Jiangsu Province,China,2.Department of General Surgery,The Yixing People's Hospital,Yixing 214200
Abstract:Objective To summarize the current status and advances of sentinel lymph node biopsy(SLNB) technique in breast cancer.Methods The pertinent domestic and overseas literatures were reviewed and the localization,harvest,status assessment,indications,and complications of SLNB were analyzed.Results SLNB could accurately locate and pick out sentinel lymph node(SLN) in breast cancer.The development on imaging examination and pathological techniques promoted the assessment of SLN,and the indications of SLNB were ex...
Keywords:Breast cancer  Axillary lymph node dissection  Sentinel lymph node biopsy  False negative  False positive  
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