van Engelenburg K C, Bult P, Hendriks J, van Die C E, Wobbes T, Ruers T J
Departments of Surger, University Hospital Nijmegen, Nijmegen, The Netherlands.
Breast. 1999 Jun;8(3):126-8. doi: 10.1054/brst.1999.0030.
A new and simple method by X-ray is described for lymph node determination in the axillary specimen of breast cancer patients. X-rays were performed of the axillary specimens of 49 women with breast cancer. The number of lymph nodes visible on the X-rays were assessed by two radiologists (A and B). The number of nodes identified in the axillary specimens was reported by the pathologist independently. The method described shows a clear correlation between the mean numbers of nodes counted on the X-rays of the specimens (radiologist A 18.3, B 16.1 nodes) and the mean numbers of nodes recovered by the pathologist (18.4). No intra-observer variation was observed and only a small inter-observer variation (2.2 nodes). This method of X-ray determination of lymph nodes can be used in auditing the surgeon's accuracy in performing complete axillary dissection as well as in auditing the number of lymph nodes found by the pathologist.
本文描述了一种通过X射线在乳腺癌患者腋窝标本中确定淋巴结的新的简单方法。对49例乳腺癌女性患者的腋窝标本进行了X射线检查。由两名放射科医生（A和B）评估X射线上可见的淋巴结数量。病理学家独立报告腋窝标本中识别出的淋巴结数量。所描述的方法显示，标本X射线片上计数的平均淋巴结数量（放射科医生A为18.3个，B为16.1个）与病理学家回收的平均淋巴结数量（18.4个）之间存在明显相关性。未观察到观察者内部差异，仅观察到较小的观察者间差异（2.2个淋巴结）。这种通过X射线确定淋巴结的方法可用于评估外科医生进行完整腋窝清扫术的准确性，以及评估病理学家发现的淋巴结数量。
