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乳腺癌导管内癌的腋窝淋巴结清扫术。

Axillary lymphadenectomy for intraductal carcinoma of the breast.

作者信息

Silverstein M J, Gierson E D, Colburn W J, Rosser R J, Waisman J R, Gamagami P

机构信息

Breast Center, Van Nuys, California 91405.

出版信息

Surg Gynecol Obstet. 1991 Mar;172(3):211-4.

PMID:1847243
Abstract

During a ten year period, 175 axillary lymph node dissections were done as part of the treatment for intraductal carcinoma of the breast; 98 patients were treated with modified radical mastectomy and 77 were treated by mammary preservation, consisting of excision of the lesion, axillary dissection and radiation therapy. One of 175 axillary node dissections yielded positive nodes. Axillary dissection for intraductal carcinoma of the breast is unlikely to yield involved nodes and is not indicated for use in most instances. It should be reserved for lesions demonstrating microinvasion.

摘要

在十年期间,作为乳腺导管内癌治疗的一部分,进行了175例腋窝淋巴结清扫术;98例患者接受了改良根治性乳房切除术,77例接受了保乳治疗,包括病变切除、腋窝清扫和放射治疗。175例腋窝淋巴结清扫术中1例发现阳性淋巴结。乳腺导管内癌进行腋窝清扫不太可能发现受累淋巴结,在大多数情况下不建议使用。它应保留用于显示微浸润的病变。

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