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前哨淋巴结活检对乳腺癌腋窝淋巴结转移状况的预测价值
引用本文:薛锋杰,姜建涛,王西京,代志军,薛兴欢,刘小旭,管海涛,康华峰.前哨淋巴结活检对乳腺癌腋窝淋巴结转移状况的预测价值[J].现代肿瘤医学,2004,12(5):425-426.
作者姓名:薛锋杰  姜建涛  王西京  代志军  薛兴欢  刘小旭  管海涛  康华峰
作者单位:西安交通大学第二医院肿瘤科,陕西,西安,710004
摘    要:目的探讨前哨淋巴结活检(SLNB)对乳腺癌腋窝淋巴结转移状况的预测价值。方法以36例体检无腋窝淋巴结转移的乳腺癌患者为研究对象,用美蓝皮下注射染色法定位前哨淋巴结(SLY),行SLNB,以病理检查结果计算SLNB的成功率及假阴性率、假阳性率、准确性、灵敏度、特异度、阳性符合率、阴性符合率、阳性结果预测值、阴性结果预测值。结果36例患者行SLNB,成功率为97.2%,灵敏度为92.9%。特异度为100%,假阴性率为7.7%,假阳性率为O%,准确率为95.8%,阳性符合率为92.3%;阴性符合率为95.7%,阳性结果预测值为100%,阴性结果预测值为93.9%。结论美蓝皮下注射染色法行SLNB有很高的成功率,SLNB能够准确地预测乳腺癌腋窝淋巴结转移状况。

关 键 词:乳腺肿瘤  前哨淋巴结  染色法  淋巴转移
文章编号:1672-4992(2004)05-0425-02
修稿时间:2004年7月25日

Prediction value of sentinel lymph nodes biopsy to the lymph node metastasis in breast cancer
XUE Feng-jie,JIANG Jian-tao,WANG Xi-jing,et al..Prediction value of sentinel lymph nodes biopsy to the lymph node metastasis in breast cancer[J].Journal of Modern Oncology,2004,12(5):425-426.
Authors:XUE Feng-jie  JIANG Jian-tao  WANG Xi-jing  
Institution:XUE Feng-jie,JIANG Jian-tao,WANG Xi-jing,et al.Second Hospital,Xi-an Jiao tong University,Xi'an 710004,China.
Abstract:Objective To study the value predict sentinel lymph nodes biopsy(SLNB) determine the accurate status of axillary.Methods All 36 patients treated with sentinel lymph nodes biopsy(SLNB) were studied using methylthionium.Results SLN were successfully identified in 35 of 36(97.2%) patients.The accuracy rate of SLNB to predict axillary lymph node status was 95.8%,sensitivity 92.9%,specificity 100%,false negative rate 7.7%rate,false positive rate 0%.Conclusion Staining of subcutaneous injection of methythionium have high successful rate of SLNB,and could predict the axillary status of breast cancer patients accurately.
Keywords:mage]breast neoplasms  sentinel lymph node  stain method  lymph node metastasis
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