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改良根治性乳房切除术用于腋窝淋巴结清扫是否足够?

Is modified radical mastectomy adequate for axillary lymph node dissection?

作者信息

Nemoto T, Dao T L

出版信息

Ann Surg. 1975 Dec;182(6):722-3. doi: 10.1097/00000658-197512000-00011.

DOI:10.1097/00000658-197512000-00011
PMID:1190875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1343968/
Abstract

The effectiveness of axillary dissection by modified radical mastectomy was assessed by a comparison of the total axillary nodes removed by this operation to that by radical mastectomy. In a series of 121 consecutive radical mastectomies performed during the period of 1964 to 1969, we found that the number of axillary nodes removed ranged from 3 to 63 with a median of 22 and a mean of 23.4 per patient. In a subsequent series of 111 consecutive modified radical mastectomies performed between 1969 and 1973, the total axillary nodes removed ranged from 6 to 77 with a median of 24 and mean of 25.7 nodes in each mastectomy specimen. These results strongly suggest that axillary dissection in modified radical mastectomy is as complete as that in the Halsted radical mastectomy.

摘要

通过比较改良根治性乳房切除术与根治性乳房切除术切除的腋窝淋巴结总数,评估改良根治性乳房切除术腋窝清扫的效果。在1964年至1969年期间连续进行的121例根治性乳房切除术中,我们发现每位患者切除的腋窝淋巴结数量为3至63个,中位数为22个,平均数为23.4个。在随后1969年至1973年期间连续进行的111例改良根治性乳房切除术中,每个乳房切除标本中切除的腋窝淋巴结总数为6至77个,中位数为24个,平均数为25.7个。这些结果有力地表明,改良根治性乳房切除术中的腋窝清扫与Halsted根治性乳房切除术中的腋窝清扫一样彻底。

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Is modified radical mastectomy adequate for axillary lymph node dissection?改良根治性乳房切除术用于腋窝淋巴结清扫是否足够?
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Curr Treat Options Oncol. 2011 Dec;12(4):389-402. doi: 10.1007/s11864-011-0170-4.
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Total mastectomy with complete axillary dissection.全乳切除术加腋窝淋巴结完全清扫术。
Ann Surg. 1981 Jul;194(1):4-8. doi: 10.1097/00000658-198107000-00002.
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The role of the obstetrician-gynecologist in the management of breast lesions.妇产科医生在乳腺病变管理中的作用。
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[Surgical treatment of the mammary carcinoma according to stage (author's transl)].
Langenbecks Arch Chir. 1977 Nov;345:53-63. doi: 10.1007/BF01305443.
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A comparison of modified radical mastectomy to radical mastectomy in the treatment of operable breast cancer.改良根治性乳房切除术与根治性乳房切除术治疗可手术乳腺癌的比较。
Ann Surg. 1979 May;189(5):553-9. doi: 10.1097/00000658-197905000-00003.

本文引用的文献

1
MODIFICATION OF CONVENTIONAL RADICAL MASTECTOMY; A DETAILED STUDY OF LYMPH NODE INVOLVEMENT AND FOLLOW-UP INFORMATION TO SHOW ITS PRACTICALITY.
Cancer. 1965 Aug;18:942-9. doi: 10.1002/1097-0142(196508)18:8<942::aid-cncr2820180804>3.0.co;2-r.
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Effectiveness of axillary lymph node dissection in modified radical mastectomy with preservation of pectoral muscles.保留胸肌的改良根治性乳房切除术中腋窝淋巴结清扫的有效性
Ann Surg. 1974 Mar;179(3):269-72. doi: 10.1097/00000658-197403000-00004.
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Modified radical mastectomy.改良根治性乳房切除术。
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Treatment of early breast cancer. Survey of surgeons.
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