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前哨淋巴结阳性后腋窝的处理:基于证据的风险适应性算法建议

Management of the axilla after the finding of a positive sentinel lymph node: a proposal for an evidence-based risk-adapted algorithm.

作者信息

Evans Suzanne B, Gass Jennifer, Wazer David E

机构信息

Department of Radiation Oncology, Tufts University School of Medicine, Boston, MA 02111, USA.

出版信息

Am J Clin Oncol. 2008 Jun;31(3):293-9. doi: 10.1097/COC.0b013e318161dc1b.

DOI:10.1097/COC.0b013e318161dc1b
PMID:18525310
Abstract

Axillary lymph node dissection after the finding of a positive sentinel lymph node is a common clinical practice. A review is performed for the efficacy and morbidity of axillary lymph node dissection, the rationale for nonsurgical management of the axilla, and the efficacy, technical limitations, and toxicity of axillary radiation therapy; a management algorithm is then proposed based upon currently available prediction tools.

摘要

在前哨淋巴结检测呈阳性后进行腋窝淋巴结清扫是一种常见的临床操作。本文对腋窝淋巴结清扫的疗效和并发症、腋窝非手术治疗的理论依据以及腋窝放射治疗的疗效、技术局限性和毒性进行了综述;然后根据现有的预测工具提出了一种管理算法。

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[Critical study of our initial experience of 993 sentinel node biopsies for breast surgery].[对我们993例乳腺癌手术前哨淋巴结活检初始经验的批判性研究]
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引用本文的文献

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Local treatment of the axilla in early breast cancer: concepts from the national surgical adjuvant breast and bowel project B-04 to the planned intergroup sentinel mamma trial.早期乳腺癌腋窝的局部治疗:从国家外科辅助乳腺和肠道项目B-04到计划中的组间前哨乳腺试验的理念
Breast Care (Basel). 2014 May;9(2):87-95. doi: 10.1159/000360411.
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Prediction of non-sentinel lymph node status in breast cancer patients with sentinel lymph node metastases: evaluation of the tenon score.前哨淋巴结转移的乳腺癌患者非前哨淋巴结状态的预测:特农评分的评估
Breast Cancer (Auckl). 2012;6:31-8. doi: 10.4137/BCBCR.S8642. Epub 2012 Jan 30.
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Risk factors for lymphedema after breast cancer treatment.
乳腺癌治疗后淋巴水肿的风险因素。
Cancer Epidemiol Biomarkers Prev. 2010 Nov;19(11):2734-46. doi: 10.1158/1055-9965.EPI-09-1245. Epub 2010 Oct 26.