中国肿瘤外科杂志Issue(2)：83-85,3.DOI:10.3969/j.issn.1674-4136.2015.02.004
简化腋窝淋巴结清扫术在早期乳腺癌治疗中的应用
The application of simplified axillary lymph nodes dissection on the treatment of early breast cancer
黄炜 1王亚兵 1殷照才 1刘三保 1陈洁 1陈晓林1
作者信息
- 1. 241001 安徽 芜湖，皖南医学院弋矶山医院 甲乳外科
- 折叠
摘要
Abstract
Objective To explore the application and effect of simplified axillary lymph node dissection ( ALND) in the operation of breast cancer . Methods Through the analysis of 327 cases of breast cancer pa-tients with clinical data in our department from Jan. 2009 to Jun. 2013 receiving sentinel lymph node biopsy (SLNB), according to the sentinel lymph node (SLN) frozen pathological results which were used methylene blue staining of SLNB , the patients who were SLN positive did the standard ALND, and the SLN negative pa-tients did the simplified ALND ( only clean up Level I) , Differences on operative time, postoperative hospitali-zation time, axillary drainage time and postoperative complications were compared between the two groups. Re-sults Among 327 cases, 314 cases successfully carried out SLNB, ALND in 119 cases with SLN positive and 195 cases of ALND negative SLN for simplified ALND. Above all, there were 11 SLN negative cases with the metastasis in Level I tissue lymph node. Compared to the standard ALND, the simplified ALND ( only clean up Level I) has shortened the operative time, postoperative hospitalization time, axillary drainage time obviously, and the armpit dropsy, decreased muscle strength, activity limitation, pain, numbness, swelling and other post-operative complications were reduced significantly. Patients were followed up 3 to 60 months after operation;none of patients were found axillary lymph node recurrence and distant metastasis. Conclusion Methylene blue staining of SLNB is an important detecting technique of valuing the metastasis of the axillary lymph node. Using simplified ALND on breast cancer patients who are SLN negative will save medical resources and reduce the postoperative complications.关键词
乳腺癌/前哨淋巴结活检/腋窝淋巴结清扫Key words
breast cancer/sentinel lymph node biopsy/axillary lymph node dissection引用本文复制引用
黄炜,王亚兵,殷照才,刘三保,陈洁,陈晓林..简化腋窝淋巴结清扫术在早期乳腺癌治疗中的应用[J].中国肿瘤外科杂志,2015,(2):83-85,3.
