| 乔江华,焦得闯,卢振铎.术前淋巴结显像在乳腺癌前哨淋巴结活检中的应用价值[J].中国肿瘤,2014,23(4):346-348. |
| 术前淋巴结显像在乳腺癌前哨淋巴结活检中的应用价值 |
| Application Value of Preoperative Lymphoscintigraphy and Sentinel Lymph Node Biopsy in Patients with Breast Cancer |
| 投稿时间：2013-11-05 |
| DOI：10.11735/j.issn.1004-0242.2014.04.A016 |
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| 中文关键词: 淋巴显像 前哨淋巴结活检术 乳腺癌 |
| 英文关键词:lymphoscintigraphy sentinel lymph node biopsy breast cancer |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 探讨术前淋巴显像在乳腺癌前哨淋巴结活检中的应用价值。［方法］ 回顾性分析2010年7月至2013年8月在河南省肿瘤医院行前哨淋巴结活检术的乳腺癌患者1041例，其中483例患者术前行淋巴结显像，558例患者未行淋巴显像而术中直接行前哨淋巴结活检术。［结果］在淋巴显像组中，84.3％(407/483)的患者显像成功，该组SLNB的成功率为98.9%(478/483)。而在未行淋巴显像组中SLNB的成功率为98．7％(551/558)。两组SLNB检出成功率差异无统计学意义(P=0.78)。即使术前淋巴显像失败，其SLNB的检出成功率仍达到98.7%。［结论］ 术前淋巴显像并不能提高SLNB的成功率。因此，临床工作中行前哨淋巴结活检前，淋巴显像不是必备条件。 |
| 英文摘要: |
| Abstract：［Purpose］ To explore application value of preoperative lymphoscintigraphy and sentinel lymph node biopsy in breast cancer patients. ［Methods］ A total of 1041 cases with breast cancer accepted sentinel lymph node biopsy(SLNB) from Henan Cancer Hospital from July 2010 to August 2013 were analyzed retrospectively. Four hundred and eighty-three cases of them received preoperative lymphoscintigraphy，but 558 cases of them accepted SLNB without preoperative lymphoscintigraphy.［Results］ In preoperative lymphoscintigraphy group，sentinel lymph nodes(SLN) were well imaged by lymphoscintigraphy in 84.3%(407/483) of them，the successful rate of SLNB was 98.9%(478/483)；while the rate of 98.7％(551/558) in the group without preoperative lymphoscintigraphy. There was no significant statistically difference between the two groups(P=0.78). Even preoperative lymphoscintigraphy failure detection，the success rate of SLNB still reached 98.7%.［Conclusion］ Preoperative lymphoscintigraphy doesn’t improve the successful rate of SLN identification，so it is not necessary to use preoperative lymphoscintigraphy before SLNB in early breast cancer. |
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