前哨淋巴结活检阴性乳腺癌患者行低位部分腋窝淋巴结清扫的必要性探讨
DOI: 10.3971/j.issn.1000-8578.2018.18.0702
Keywords: A Predictor of Risk and Prognosis of Breast Cancer,Tanshinone ⅡA Enhances Chemosensitivity of Breast Cancer Cells to Doxorubicin and Related Mechanism,In Situ Hybridization Status of 568 Cases of HER2 Equivocal Breast Cancer,Apatinib Suppresses Proliferation and Induced Apoptosis of Human Breast Cancer Cell Line MDA-MB-231 Through Glycolytic Inhibition,Progress of Whole Exon Sequencing in Pathogenesis and Diagnosis of Breast Cancer,Feedback Activation of STAT3 Confers Resistance of HER2-positive Breast Cancer Cells to Lapatinib,Influence of NRP-1 Monoclonal Antibody on Growth of Breast Cancer Xenografts in Nude Mouse,Expression of Circular RNA ciRS-7 and Its Effect on Invasion and Migration of Triplenegative reast Cancer Cells,Breast Metastasis of Primary Pulmonary Adenocarcinoma: A Report of Two Cases and Literature Review
Abstract:
摘要 目的 探讨前哨淋巴结活检(sentinel lymph node biopsy, SLNB)阴性行低位部分腋窝淋巴结清扫(low partial axillary lymph node dissection, LPALND)的必要性。方法 收集138例影像学检查提示腋窝淋巴结肿大、SLNB阴性(≤4枚)并进一步行LPALND乳腺癌患者临床病理资料进行回顾性分析,探讨患者行LPALND的必要性。结果 SLNB 2枚组、3枚组与4枚组发生LPALN转移概率比较差异均无统计学意义(P>0.05)。但1枚组与4枚组发生LPALN转移概率比较差异有统计学意义(P<0.05)。结论 对影像学检查提示腋窝淋巴结肿大行SLNB 1枚阴性患者应行LPALND, 2~3枚阴性患者建议行LPALND,4枚阴性患者可免于行LPALND
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