乳腺癌对侧腋窝前哨淋巴结引流：一例报告
Contralateral axillary sentinel lymph node drainage in breast cancer: a case report.
作者信息
Barranger Emmanuel, Montravers Françoise, Kerrou Khaldoun, Marpeau Olivier, Raileanu Irena, Antoine Martine, Talbot Jean Noel, Uzan Serge
机构信息
Department of Gynecology and Breast Cancers, Hôpital Tenon, Assistance Publique des Hôpitaux de Paris, Paris, France.
出版信息
J Surg Oncol. 2004 Jun 1;86(3):167-9. doi: 10.1002/jso.20056.
BACKGROUND
Since the introduction of sentinel node (SN) mapping in breast cancer, extra-axillary lymph node sites of breast tumor drainage are discovered in about one-quarter of cases, especially after intraparenchymal injection. In most such cases, an ipsilateral axillary SN is associated with an extra-axillary SN. Non visualization of ipsilateral axillary SN and extra-axillary SN drainage are often associated with an increased risk of axillary involvement.
CASE
We report a case of contralateral axillary SN drainage on lymphoscintigraphy in a breast cancer patient with a history of bilateral reduction mammoplasty and no ipsilateral axillary lymph node involvement.
背景
自从在乳腺癌中引入前哨淋巴结（SN）定位以来，在大约四分之一的病例中发现了乳腺肿瘤引流的腋外淋巴结部位，尤其是在实质内注射后。在大多数此类病例中，同侧腋窝前哨淋巴结与腋外前哨淋巴结相关。同侧腋窝前哨淋巴结未显影以及腋外前哨淋巴结引流通常与腋窝受累风险增加相关。
病例
我们报告一例乳腺癌患者淋巴闪烁显像显示对侧腋窝前哨淋巴结引流的病例，该患者有双侧乳房缩小成形术病史且同侧腋窝淋巴结未受累。
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