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前哨淋巴结使用中的争议:微浸润、术后及术前全身治疗后情况

Controversies in the use of sentinel nodes: microinvasion, post surgery and after preoperative systemic treatment.

作者信息

Veronesi Paolo, Rodriguez-Fernandez Julia, Intra Mattia

机构信息

Division of Breast Surgery, European Institute of Oncology, Milan, Italy.

出版信息

Breast. 2007 Dec;16 Suppl 2:S67-70. doi: 10.1016/j.breast.2007.07.009. Epub 2007 Aug 13.

DOI:10.1016/j.breast.2007.07.009
PMID:17697779
Abstract

In the past 10 years, sentinel lymph node biopsy (SLNB) has become a safe and accurate method for axillary staging. Several recent publications worldwide have been progressively elucidating old controversies. The list of clinical scenarios in which SLNB was initially contraindicated seems to be dwindling as experience with this technique increases. Here we discuss the suitability of SLNB in the settings of microinvasive cancer, after breast or axillary surgery and after neoadjuvant chemotherapy.

摘要

在过去10年中,前哨淋巴结活检(SLNB)已成为一种安全、准确的腋窝分期方法。最近全球范围内的一些出版物逐渐阐明了过去的争议。随着对该技术经验的增加,最初被视为SLNB禁忌的临床情况列表似乎在减少。在此,我们讨论SLNB在微浸润癌、乳房或腋窝手术后以及新辅助化疗后的适用性。

相似文献

1
Controversies in the use of sentinel nodes: microinvasion, post surgery and after preoperative systemic treatment.前哨淋巴结使用中的争议:微浸润、术后及术前全身治疗后情况
Breast. 2007 Dec;16 Suppl 2:S67-70. doi: 10.1016/j.breast.2007.07.009. Epub 2007 Aug 13.
2
Current status of sentinel lymph node biopsy in early breast cancer.早期乳腺癌前哨淋巴结活检的现状
Int J Fertil Womens Med. 2004 Sep-Oct;49(5):215-21.
3
Sentinel lymph node biopsy after neoadjuvant chemotherapy is accurate in breast cancer patients with a clinically negative axillary nodal status at presentation.对于新辅助化疗后初始腋窝淋巴结临床检查为阴性的乳腺癌患者,前哨淋巴结活检结果准确。
Ann Surg Oncol. 2008 May;15(5):1316-21. doi: 10.1245/s10434-007-9759-z. Epub 2008 Mar 1.
4
Is sentinel lymph node biopsy more accurate than axillary dissection for staging nodal involvement in breast cancer patients?对于乳腺癌患者淋巴结受累情况的分期,前哨淋巴结活检是否比腋窝淋巴结清扫更准确?
Chir Ital. 2007 Sep-Oct;59(5):693-9.
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[The advantages of preoperative systemic therapy in breast cancer].[乳腺癌术前全身治疗的优势]
Ned Tijdschr Geneeskd. 2008 Nov 15;152(46):2501-6.
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Breast sentinel lymph node dissection before preoperative chemotherapy.术前化疗前行乳腺癌前哨淋巴结清扫术。
Arch Surg. 2008 Jul;143(7):692-9; discussion 699-700. doi: 10.1001/archsurg.143.7.692.
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Sentinel lymph node biopsy after neoadjuvant chemotherapy in inflammatory breast cancer.炎性乳腺癌新辅助化疗后前哨淋巴结活检
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8
Axillary reverse mapping: mapping and preserving arm lymphatics may be important in preventing lymphedema during sentinel lymph node biopsy.腋窝反向映射:在前哨淋巴结活检过程中,对臂部淋巴管进行映射和保留可能对预防淋巴水肿很重要。
J Am Coll Surg. 2008 May;206(5):1038-42; discussion 1042-4. doi: 10.1016/j.jamcollsurg.2007.12.022. Epub 2008 Mar 3.
9
Comparison of sentinel lymph node biopsy alone and completion axillary lymph node dissection for node-positive breast cancer.单纯前哨淋巴结活检与腋窝淋巴结清扫术用于治疗淋巴结阳性乳腺癌的比较。
J Clin Oncol. 2009 Jun 20;27(18):2946-53. doi: 10.1200/JCO.2008.19.5750. Epub 2009 Apr 13.
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Neoadjuvant chemotherapy for breast cancer: does pretreatment axillary nodal staging improve decision making?乳腺癌新辅助化疗:术前腋窝淋巴结分期能否改善决策制定?
Ann Surg Oncol. 2009 Apr;16(4):1063-4. doi: 10.1245/s10434-009-0351-6. Epub 2009 Feb 10.

引用本文的文献

1
Accuracy and axilla sparing potentials of sentinel lymph node biopsy with methylene blue alone performed before versus after neoadjuvant chemotherapy in breast cancer: a single institution experience.单独使用亚甲蓝行前与新辅助化疗后乳腺癌前哨淋巴结活检的准确性和腋窝保留潜能:单机构经验。
Clin Transl Oncol. 2013 Jan;15(1):79-84. doi: 10.1007/s12094-012-0885-0. Epub 2012 Aug 28.
2
Sentinel lymph node biopsy in selected cases of ductal carcinoma in situ.选择性导管原位癌患者前哨淋巴结活检。
Clin Transl Oncol. 2010 Jul;12(7):499-502. doi: 10.1007/s12094-010-0543-3.
3
Advantage of sentinel lymph node biopsy before neoadjuvant chemotherapy in breast cancer treatment.
前哨淋巴结活检在乳腺癌新辅助化疗治疗中的优势。
Surg Today. 2009;39(5):374-80. doi: 10.1007/s00595-008-3880-x. Epub 2009 Apr 30.