中国医疗设备2017，Vol.32Issue(12)：72-75,4.DOI:10.3969/j.issn.1674-1633.2017.12.017
乳腺癌腋窝淋巴结超声评估的价值
Value of the Axillary Lymph Nodes of Breast Cancer Ultrasound Assessment
摘要
Abstract
Objective To evaluate the value of ultrasonography in diagnosis of axillary lymph node (ALN) metastasis in breast cancer. Methods A retrospective analysis of 265 cases of axillary lymph nodes who were diagnosed as breast cancer admitted in the first affiliated hospital of nanjing medical university from January 2016 to April 2017 were included in this study. The degree and the state of the lymph nodes of cortical thickening and the hilus structure in bilateral were analyzed. Results Nomal axillary lymph nodes were found in 132 cases, 20 with pathological metastasis. 133 with unnormal axillary lymph nodes, among them, 77 were found with pathological metastasis. The sensitivity, specificity, positive predictive value, negative predictive value were 79.38%, 66.67%, 57.89% and 84.85% respectively. These patients were then grouped according to the cortical thickening of 3.0 mm. As a result, patients with cortical thickness ≥3.0 mm had higher lymph node metastasis rate. In particular, the metastasis rate was 100%in lymph node with disappearance hilus (P<0.05). But in the same group of cortical thickness uniform and non-uniform, there is no obvious difference for lymph node metastasis (P>0.05). Ultrasonic normal group (false negative) had lower metastatic nodal burden than that of cortical thickness ≥3.0 mm group (P<0.05). Conclusion Ultrasound can effectively evaluate axillary lymph node status in breast cancer. The metastasis rate is higher in cortical thickness ≥3.0 mm than that of cortical thickness <3.0 mm.关键词
乳腺癌/腋窝淋巴结/超声/皮质Key words
breast cancer/axillary lymph node/ultrasonic/cortex分类
医药卫生引用本文复制引用
邓晶,李奥,周文斌,徐祎,李沁,栗翠英,苏浩波..乳腺癌腋窝淋巴结超声评估的价值[J].中国医疗设备,2017,32(12):72-75,4.基金项目
国家自然科学基金青年科学基金(81401427) （81401427）
国家自然科学基金青年科学基金(81502299) （81502299）
江苏省教育厅高校自然基金项目(14KJB320003). （14KJB320003）
