Jansen J E, Bekker J, de Haas M J, van der Weel F A, Verberne G H M, Budel L M, Quekel L G B A, de Klerk J M H
Department of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
Eur J Nucl Med Mol Imaging. 2006 Nov;33(11):1296-300. doi: 10.1007/s00259-006-0119-1. Epub 2006 Jun 28.
In our clinic, patients with occult breast lesions are treated with a sentinel node biopsy combined with wire-guided tumour excision. The aim of this retrospective study was to determine the influence of the sequence of wire localisation and sentinel node procedure on visualisation of the sentinel node.
A total of 136 patients had a wire-guided tumour excision combined with a sentinel node procedure. Sixty-six patients had guide wire localisation prior to the sentinel node procedure. Seventy patients had sentinel node visualisation before insertion of the guide wire.
The sentinel node was visualised in 41 (62%) of the patients who first underwent guide wire localisation. In the group of patients who underwent visualisation of the sentinel node before placement of the guide wire, the sentinel node was visualised in 62 (89%). This is a significant difference in visualisation (p<0.001).
This study shows that guide wire localisation prior to the sentinel node procedure negatively influences visualisation of the sentinel node.
在我们的诊所，隐匿性乳腺病变患者采用前哨淋巴结活检联合钢丝引导下肿瘤切除术进行治疗。这项回顾性研究的目的是确定钢丝定位和前哨淋巴结手术顺序对前哨淋巴结可视化的影响。
共有136例患者接受了钢丝引导下肿瘤切除术联合前哨淋巴结手术。66例患者在进行前哨淋巴结手术前进行了导丝定位。70例患者在插入导丝前进行了前哨淋巴结可视化。
首先接受导丝定位的患者中，41例（62%）的前哨淋巴结被可视化。在放置导丝前进行前哨淋巴结可视化的患者组中，62例（89%）的前哨淋巴结被可视化。这在可视化方面存在显著差异（p<0.001）。
本研究表明，在进行前哨淋巴结手术之前进行导丝定位会对前哨淋巴结的可视化产生负面影响。
