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乳腺癌患者腋窝淋巴结：超声评估

Axillary lymph nodes in breast cancer patients: sonographic evaluation.

作者信息

Pinheiro Denise Joffily Pereira da Costa, Elias Simone, Nazário Afonso Celso Pinto

机构信息

Specialist, MD, Mastologist at Hospital do Servidor Público Estadual "Francisco Morato de Oliveira" (HSPE), São Paulo, SP, Brazil.

PhD, Mastologist, Escola Paulista de Medicina - Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.

出版信息

Radiol Bras. 2014 Jul-Aug;47(4):240-4. doi: 10.1590/0100-3984.2013.1689.

DOI:10.1590/0100-3984.2013.1689
PMID:25741091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4337126/
Abstract

Axillary staging of patients with early-stage breast cancer is essential in the treatment planning. Currently such staging is intraoperatively performed, but there is a tendency to seek a preoperative and less invasive technique to detect lymph node metastasis. Ultrasonography is widely utilized for this purpose, many times in association with fine-needle aspiration biopsy or core needle biopsy. However, the sonographic criteria for determining malignancy in axillary lymph nodes do not present significant predictive values, producing discrepant results in studies evaluating the sensitivity and specificity of this method. The present study was aimed at reviewing the literature approaching the utilization of ultrasonography in the axillary staging as well as the main morphological features of metastatic lymph nodes.

摘要

早期乳腺癌患者的腋窝分期对于治疗方案的制定至关重要。目前，此类分期是在术中进行的，但有一种趋势是寻求一种术前且侵入性较小的技术来检测淋巴结转移。超声检查广泛用于此目的，很多时候会与细针穿刺活检或粗针穿刺活检联合使用。然而，用于确定腋窝淋巴结恶性肿瘤的超声标准并没有显著的预测价值，在评估该方法敏感性和特异性的研究中产生了不一致的结果。本研究旨在回顾有关超声检查在腋窝分期中的应用以及转移性淋巴结主要形态学特征的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/9a51f8e36745/rb-47-04-0240-g10.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/9a51f8e36745/rb-47-04-0240-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/6730c16bde6a/rb-47-04-0240-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/f789925911b6/rb-47-04-0240-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/c96fbf89fc82/rb-47-04-0240-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/77324dbac68c/rb-47-04-0240-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/4b9473c0fff9/rb-47-04-0240-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/dac1482ea6f2/rb-47-04-0240-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/13d05b7510a9/rb-47-04-0240-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/d1e1287ae06e/rb-47-04-0240-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/c1bfca3fdd59/rb-47-04-0240-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2d/4337126/9a51f8e36745/rb-47-04-0240-g10.jpg

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