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中华普通外科学文献(电子版) ›› 2013, Vol. 07 ›› Issue (04) : 311 -314. doi: 10.3877/cma.j.issn.1674-0793.2013.04.016

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综述

乳腺癌内乳区前哨淋巴结活检术研究进展
丛斌斌1, 邱鹏飞1, 王永胜1   
  1. 1. 250117 济南,山东省肿瘤医院乳腺病中心 济南大学 山东省医学科学院医学与生命科学学院
  • 收稿日期:2013-07-29 出版日期:2013-08-01

Progress of internal mammary sentinel lymph node biopsy in patients with breast cancer

Bin-bin CONG1, Peng-fei QIU1, Yong-sheng WANG1   

  1. 1. Breast Cancer Center, Shandong Cancer Hospital, Shandong Academy of Medical Sciences, Jinan 250117, China
  • Received:2013-07-29 Published:2013-08-01
引用本文:

丛斌斌, 邱鹏飞, 王永胜. 乳腺癌内乳区前哨淋巴结活检术研究进展[J/OL]. 中华普通外科学文献(电子版), 2013, 07(04): 311-314.

Bin-bin CONG, Peng-fei QIU, Yong-sheng WANG. Progress of internal mammary sentinel lymph node biopsy in patients with breast cancer[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2013, 07(04): 311-314.

内乳区淋巴结的转移状况是乳腺癌的独立预后指标,也是乳腺癌淋巴分期的重要依据之一。内乳区淋巴结转移的患者预后较差。随着前哨淋巴结活检技术的不断发展和新型注射技术的出现,内乳区前哨淋巴结活检的显像率显著提高,经肋间行内乳区前哨淋巴结活检术可以最小的风险评估内乳区淋巴结状况,并进一步完善乳腺癌的淋巴结分期,有助于为患者制定更为准确的个体化治疗方案。

The status of internal mammary lymph node (IMLN) is an independent prognostic factor for breast cancer patients, and it is an important reference for the accurate nodal staging. In patients with IMLN metastases, the prognosis would become unfavorable. Internal mammary sentinel lymph node biopsy (IM-SLNB) via intercostal space is a minimally invasive surgical procedure compared with internal mammary nodal chain dissection. Recently, with the development of sentinel lymph node biopsy (SLNB) and the appearance of modified injection technique, the detection rate of internal mammary hotspots in lymphoscintigraphy has been improved significantly, IM-SLNB via intercostal spaces can access the status of IMLN with minimal risk. IM-SLNB procedure can improve the nodal staging system, and it will contribute to the individualized treatment for breast cancer patients.

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