Cserni Gábor
Patológiai Osztály, Bács-Kiskun Megyei Kórház 6000 Kecskemét, Nyíri út 38.
Patológiai Intézet, Szegedi Tudományegyetem Szeged.
Magy Seb. 2016 Mar;69(1):4-13. doi: 10.1556/1046.69.2016.1.2.
The introduction of sentinel lymph node biopsy in early breast cancer patients has substantially changed the approach to axillary management traditionally consisting of lymph node dissection. It has also rendered it more sophisticated. Several factors influence the decision on whether a patient should be offered sentinel lymph node biopsy or axillary lymph node dissection after the biopsy or instead of it. The potential options have been combined into an algorithm, of which each step is explained with the most important evidences in support or against summarized.
前哨淋巴结活检应用于早期乳腺癌患者，已极大地改变了传统上采用淋巴结清扫术的腋窝处理方法，也使其更为复杂。有几个因素会影响关于患者应接受前哨淋巴结活检、活检后行腋窝淋巴结清扫术还是不进行活检直接行腋窝淋巴结清扫术的决策。这些潜在的选择已被整合到一个算法中，其中每个步骤都用支持或反对的最重要证据进行了总结说明。
