162例乳腺癌前哨淋巴结活检的前瞻性研究:超声检查在患者选择中的作用

S. Kim, W. Han, I. Park, June-Key Chung, J. Yeo, W. Moon, J. Cha, K. Choe, S. Oh, Y. Youn, D. Noh
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引用次数: 6

摘要

目的:前哨淋巴结(SLN)活检已广泛应用于黑色素瘤和乳腺癌的治疗。本研究的目的是:(1)比较不同注射方式、术中前哨淋巴结评估和术后评估的结果;(2)确定SLN预测区域淋巴结状态的可靠性。方法:对1999年6月~ 2003年4月收治的162例女性原发性乳腺癌患者进行前瞻性研究。为了确定前哨淋巴结,采用tc99m -三硫酸锑作为示踪剂,采用两种注射方法,在乳腺淋巴显像后采用伽玛探测探针进行SLN活检。术中进行冷冻切片活检或触摸打印细胞学检查。如果SLN活检没有永久性苏木精和伊红转移(HE6:103-108)
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Prospective Study of 162 Sentinel Lymph Node Biopsies in Breast Cancer: Usefulness of Ultrasonography in Patients Selection
Purpose: Sentinel lymph node (SLN) biopsy has been widely used in the management of melanoma and breast cancer. The aims of this study were (1) to compare the results obtained with the different injection, intraoperative sentinel node evaluation, and postoperative evaluation; and (2) to determine the reliability of SLN to predict the regional lymph node status. Methods: We prospectively studied selected 162 female primary breast cancer patients from Jun. 1999 to Apr. 2003. For identification of sentinel lymph node, Tc99m-antimony trisulfate was used as a tracer with two injection methods and SLN biopsy using a gamma-detection probe was done after breast lymphoscintigraphy. Frozen section biopsy or touch-print cytology was done for intraoperative evaluation. If a SLN biopsy was free of metastasis by permanent hematoxylin and eosin (HE6:103-108)
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