Teilum Dorthe, Kroman Niels, Friis Esbern
Brystkirurgisk Klinik, Rigshospitalet, DK-2100 København Ø.
Ugeskr Laeger. 2008 Sep 29;170(40):3136-7.
Mastectomy is the treatment of choice in local relapse after breast-conserving surgery. We present two cases where the sentinel node technique was used. The first case presents with one negative SN after axillary dissection 11 years earlier. The second case presents with a new SN with micrometastases and axillary dissection with 11 negative nodes 2 years after a negative SN procedure. We recommend the use of the sentinel node technique in surgery for relapse in order to optimize the staging.
乳房切除是保乳手术后局部复发的首选治疗方法。我们介绍两例使用前哨淋巴结技术的病例。第一例在11年前腋窝清扫术后前哨淋巴结为阴性。第二例在一次前哨淋巴结阴性手术后2年出现一个有微转移的新前哨淋巴结,并进行了腋窝清扫,清扫出11个阴性淋巴结。我们建议在复发病例的手术中使用前哨淋巴结技术,以优化分期。