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中华乳腺病杂志(电子版) ›› 2017, Vol. 11 ›› Issue (02) : 109 -113. doi: 10.3877/cma.j.issn.1674-0807.2017.02.011

综述

乳腺癌前哨淋巴结的临床研究进展
曹欣华1, 张亚男2,(), 胡浩霖2, 瞿欢2   
  1. 1.210009 南京,东南大学医学院
    2.210009 南京,东南大学附属中大医院普外科
  • 收稿日期:2016-01-23 出版日期:2017-04-01
  • 通信作者: 张亚男

Advance of clinical studies on sentinel lymph node in breast cancer

Xinhua Cao, Yanan Zhang(), Haolin Hu, huan Qu   

  • Received:2016-01-23 Published:2017-04-01
  • Corresponding author: Yanan Zhang
引用本文:

曹欣华, 张亚男, 胡浩霖, 瞿欢. 乳腺癌前哨淋巴结的临床研究进展[J/OL]. 中华乳腺病杂志(电子版), 2017, 11(02): 109-113.

Xinhua Cao, Yanan Zhang, Haolin Hu, huan Qu. Advance of clinical studies on sentinel lymph node in breast cancer[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2017, 11(02): 109-113.

随着影像技术的发展,越来越多的早期乳腺癌被发现,前哨淋巴结活组织检查(SLNB)已迅速取代腋窝淋巴结清扫(ALND),成为早期乳腺癌腋窝处理的标准方式。 笔者复习了国内外相关文献,对前哨淋巴结的概念及意义、SLNB 的适应证与禁忌证、前哨淋巴结的定位方法、SLNB 的假阳性与假阴性、内乳淋巴结活组织检查等方面进行讨论。 SLNB 能够提供准确的腋窝分级,同时显著减少手术并发症。 SLNB 的适应证在不断扩大,越来越多的相对禁忌证转变为适应证。 目前,SLNB 没有统一的标准,不同操作方式的检出率和假阴性率变化也很大。 SLNB 已在临床上大规模开展,可能已经超越了循证医学提供的证据,乳腺科医师必须在指南的指导下加强操作的规范和病例的选择。

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