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本文引用的文献

1
The Value of Isosulfan Blue Dye in Addition to Isotope Scanning in the Identification of the Sentinel Lymph Node in Breast Cancer Patients With a Positive Lymphoscintigraphy: A Randomized Controlled Trial (ISRCTN98849733).异硫蓝染料联合同位素扫描在淋巴闪烁显像阳性的乳腺癌患者前哨淋巴结识别中的价值:一项随机对照试验(ISRCTN98849733)
Ann Surg. 2015 Aug;262(2):243-8. doi: 10.1097/SLA.0000000000001213.
2
Processing sentinel nodes in breast cancer: when and how many?乳腺癌前哨淋巴结的处理:时机与数量?
Arch Surg. 2011 Apr;146(4):389-93. doi: 10.1001/archsurg.2011.29.
3
Anaphylaxis and other adverse reactions to blue dyes: a case series.对蓝色染料的过敏反应及其他不良反应:病例系列
Anaesth Intensive Care. 2011 Mar;39(2):287-92. doi: 10.1177/0310057X1103900221.
4
Sentinel lymph node biopsy in breast cancer: an analysis of the maximum number of nodes requiring excision.乳腺癌前哨淋巴结活检:分析需要切除的最大淋巴结数量。
Breast J. 2011 Jan-Feb;17(1):3-8. doi: 10.1111/j.1524-4741.2010.01019.x. Epub 2010 Dec 6.
5
Anaphylactic response to blue dye during sentinel lymph node biopsy.在进行前哨淋巴结活检时对蓝色染料发生过敏反应。
Surg Oncol. 2011 Mar;20(1):e55-9. doi: 10.1016/j.suronc.2010.10.002. Epub 2010 Nov 11.
6
Sentinel-lymph-node resection compared with conventional axillary-lymph-node dissection in clinically node-negative patients with breast cancer: overall survival findings from the NSABP B-32 randomised phase 3 trial.前哨淋巴结切除术与乳腺癌临床淋巴结阴性患者常规腋窝淋巴结清扫术的比较:来自 NSABP B-32 随机 3 期试验的总生存结果。
Lancet Oncol. 2010 Oct;11(10):927-33. doi: 10.1016/S1470-2045(10)70207-2.
7
Does blue dye contribute to success of sentinel node mapping for breast cancer?蓝色染料是否有助于乳腺癌前哨淋巴结定位的成功?
Ann Surg Oncol. 2010 Oct;17 Suppl 3(0 3):280-5. doi: 10.1245/s10434-010-1235-5. Epub 2010 Sep 19.
8
Sentinel-lymph-node-based management or routine axillary clearance? One-year outcomes of sentinel node biopsy versus axillary clearance (SNAC): a randomized controlled surgical trial.基于前哨淋巴结的管理还是常规腋窝清扫?前哨淋巴结活检与腋窝清扫(SNAC)的一年结局:一项随机对照外科试验。
Ann Surg Oncol. 2009 Feb;16(2):266-75. doi: 10.1245/s10434-008-0229-z. Epub 2008 Dec 3.
9
The use of radioisotope combined with isosulfan Blue dye is not superior to radioisotope alone for the identification of sentinel lymph nodes in patients with breast cancer.对于乳腺癌患者,放射性同位素联合异硫蓝染料用于前哨淋巴结识别并不优于单独使用放射性同位素。
Surgery. 2008 Oct;144(4):606-9; discussion 609-10. doi: 10.1016/j.surg.2008.06.023.
10
Factors affecting failed localisation and false-negative rates of sentinel node biopsy in breast cancer--results of the ALMANAC validation phase.影响乳腺癌前哨淋巴结活检定位失败率和假阴性率的因素——ALMANAC验证阶段的结果
Breast Cancer Res Treat. 2006 Sep;99(2):203-8. doi: 10.1007/s10549-006-9192-1. Epub 2006 Mar 16.

蓝色染料在乳腺癌前哨淋巴结检测中的作用:对203例患者的回顾性研究

The Role of Blue Dye in Sentinel Node Detection for Breast Cancer: A Retrospective Study of 203 Patients.

作者信息

Garbay Jean-Remi, Skalli-Chrisostome Dounia, Leymarie Nicolas, Sarfati Benjamin, Rimareix Francoise, Mazouni Chafika

机构信息

Institut Gustave Roussy, Villejuif, France.

出版信息

Breast Care (Basel). 2016 Apr;11(2):128-32. doi: 10.1159/000445368. Epub 2016 Apr 26.

DOI:10.1159/000445368
PMID:27239175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4881247/
Abstract

OBJECTIVE

We aimed at examining the potential benefits of blue dye in sentinel node biopsy (SNB) in comparison with its proven drawbacks.

PATIENTS AND METHODS

In 2007, 203 T1 primary breast carcinomas had been operated on in our institute. The patients had undergone a lumpectomy and SNB. Sentinel node (SN) detection was exclusively isotopic (ISO) in 77 patients and performed with blue dye combined with a radioactive isotope (COMBI) in 126 patients. We compared the number of SNs and the rate of SN positivity in both groups.

RESULTS

The detection rate was 99% in both groups: 76/77 in the ISO group and 125/126 in the COMBI group. The mean number of SNs was 2.14 and 1.91 in the ISO group and the COMBI group, respectively (difference not significant (NS)). SN positivity was found in 26.1% and 24.6% in the ISO group and the COMBI group, respectively (NS). Only 1 SN had been removed in 26% of the patients in the ISO group versus 45.2% of the patients in the COMBI group (p = 0.004). No significant differences were observed in the tumor characteristics.

CONCLUSION

The systematic use of patent blue dye combined with isotopic detection does not appear to increase the overall performance of the SNB technique in this retrospective study.

摘要

目的

我们旨在研究蓝色染料在前哨淋巴结活检(SNB)中的潜在益处,并与其已证实的缺点进行比较。

患者与方法

2007年,我院对203例T1期原发性乳腺癌患者进行了手术。患者均接受了肿块切除术和前哨淋巴结活检。77例患者仅采用同位素(ISO)检测前哨淋巴结(SN),126例患者采用蓝色染料联合放射性同位素(COMBI)检测。我们比较了两组的SN数量和SN阳性率。

结果

两组的检测率均为99%:ISO组为76/77,COMBI组为125/126。ISO组和COMBI组的SN平均数量分别为2.14和1.91(差异无统计学意义(NS))。ISO组和COMBI组的SN阳性率分别为26.1%和24.6%(NS)。ISO组26%的患者仅切除了1个SN,而COMBI组为45.2%的患者(p = 0.004)。在肿瘤特征方面未观察到显著差异。

结论

在这项回顾性研究中,系统性地使用专利蓝色染料联合同位素检测似乎并未提高SNB技术的整体性能。