Paganelli G, Veronesi U
Division of Nuclear Medicine, European Institute of Oncology, Milan, Italy.
Nucl Med Commun. 2002 Jul;23(7):625-7. doi: 10.1097/00006231-200207000-00006.
The surgical management of non-palpable breast lesions remains controversial. At the European Institute of Oncology we have introduced a new technique, radio-guided occult lesion localization (ROLL) to replace standard methods and overcome their disadvantages. Regarding axillary dissection, probe-guided biopsy of the sentinel node (SN) is easy to apply, and the whole procedure is associated to a low risk of false negatives. We suggest that the SN technique should be widely adopted to stage the axilla in patients with breast cancer with clinically negative lymph nodes. Large-scale implementation of the sentinel node technique will reduce the cost of treatment as a result of shorter hospitalization times.
不可触及乳腺病变的外科治疗仍存在争议。在欧洲肿瘤研究所，我们引入了一种新技术，即放射性引导隐匿性病变定位（ROLL），以取代标准方法并克服其缺点。关于腋窝清扫，前哨淋巴结（SN）的探头引导活检易于实施，且整个过程假阴性风险较低。我们建议，对于临床腋窝淋巴结阴性的乳腺癌患者，应广泛采用SN技术对腋窝进行分期。前哨淋巴结技术的大规模应用将因缩短住院时间而降低治疗成本。
