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乳腺癌前哨淋巴结活检的临床研究
引用本文:王新超,王牧,马云起.乳腺癌前哨淋巴结活检的临床研究[J].中国临床医学,2003,10(2):195-196.
作者姓名:王新超  王牧  马云起
作者单位:天津市第四中心医院肿瘤科,天津,300140
摘    要:目的:探讨前哨淋巴结活检(sentinel lymph node biopsy,SLNB)预测乳腺癌腋窝淋巴结(axillary lymoph node,ALN)转移的临床价值及提高其准确性的方法。方法:本组36例临床ALN阴性的乳腺癌患者,用1%美蓝染色,行前哨淋巴结(sentinel bmph node,SLN)活检;随后行腋窝淋巴结清扫(axillary lymph node dissection,ALND),将SLN做连续病理切片检查。结果:36例中,检出SLN34例,其中32例的SLN可准确预测ALN转移状态。结论:应用美蓝进行SLNB预测ALN转移的方法简单、准确,具有重要的临床应用价值。

关 键 词:乳腺癌  前哨淋巴结活检  临床研究  连续病理切片  肿瘤转移

Clinical Evaluation of Sentinel Lymph Node Biopsy of Breast Cancer
Wang Xinchao,Wang Mu,Ma Yunqi.Clinical Evaluation of Sentinel Lymph Node Biopsy of Breast Cancer[J].Chinese Journal Of Clinical Medicine,2003,10(2):195-196.
Authors:Wang Xinchao  Wang Mu  Ma Yunqi
Abstract:Objective: To evaluate the clinical value of sentinel lymph node biopsy(SLNB) to predict the axillary lymph node (ALN) metastasis of the breast cancer and tostudy the methods to rise its accurate rate. Methods: 36 cases of primary breast cancer patients with clinical ALN negative were injected 1% methylene blue and taken SLAB, then ALN was dissected. The successive pathological section of SLN were detected after operation. Results: 34 of 36 cases were detected with SLN,among which 32 cases SLN had predicted ALN metastasis. Conclusion: The mothod to predict the status of metastasis of ALN in breast cancer by SLNB with methylene blue is simple and exact and has a great clinical significance in practice.
Keywords:Breast cancer  Sentinel lymph node  Biopsy
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