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2
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本文引用的文献

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The Sentinel Node with Isolated Breast Tumor Cells or Micrometastases. Benefits and Risks of Axillary Dissection.伴有孤立性乳腺肿瘤细胞或微转移的前哨淋巴结。腋窝淋巴结清扫的益处与风险。
Anticancer Res. 2017 Jul;37(7):3757-3762. doi: 10.21873/anticanres.11750.
2
Axillary Lymphadenectomy in Sentinel Lymph Node-Positive Breast Cancer.前哨淋巴结阳性乳腺癌的腋窝淋巴结清扫术
Ann Surg Oncol. 2018 Jan;25(1):28-31. doi: 10.1245/s10434-017-5849-8. Epub 2017 Mar 31.
3
Outcomes of Sentinel Lymph Node-Positive Breast Cancer Patients Treated with Mastectomy Without Axillary Therapy.接受乳房切除术且未进行腋窝治疗的前哨淋巴结阳性乳腺癌患者的治疗结果。
Ann Surg Oncol. 2017 Mar;24(3):652-659. doi: 10.1245/s10434-016-5605-5. Epub 2016 Oct 3.
4
Locoregional Recurrence After Sentinel Lymph Node Dissection With or Without Axillary Dissection in Patients With Sentinel Lymph Node Metastases: Long-term Follow-up From the American College of Surgeons Oncology Group (Alliance) ACOSOG Z0011 Randomized Trial.前哨淋巴结转移患者行前哨淋巴结清扫术加或不加腋窝清扫术后的局部区域复发：美国外科医师学会肿瘤学组（联盟）ACOSOG Z0011随机试验的长期随访
Ann Surg. 2016 Sep;264(3):413-20. doi: 10.1097/SLA.0000000000001863.
5
The value of completion axillary treatment in sentinel node positive breast cancer patients undergoing a mastectomy: a Dutch randomized controlled multicentre trial (BOOG 2013-07).前哨淋巴结阳性的乳腺癌患者行乳房切除术后完成腋窝治疗的价值：一项荷兰随机对照多中心试验（BOOG 2013 - 07）
BMC Cancer. 2015 Sep 3;15:610. doi: 10.1186/s12885-015-1613-2.
6
Outcomes with and without axillary node dissection for node-positive lumpectomy and mastectomy patients.有或无腋窝淋巴结清扫术的淋巴结阳性乳房肿瘤切除术和乳房切除术患者的治疗结果。
Am J Surg. 2015 Oct;210(4):685-93. doi: 10.1016/j.amjsurg.2015.05.004. Epub 2015 Jun 26.
7
Radiotherapy or surgery of the axilla after a positive sentinel node in breast cancer (EORTC 10981-22023 AMAROS): a randomised, multicentre, open-label, phase 3 non-inferiority trial.乳腺癌前哨淋巴结阳性后腋窝的放疗或手术（EORTC 10981-22023 AMAROS）：一项随机、多中心、开放标签的3期非劣效性试验。
Lancet Oncol. 2014 Nov;15(12):1303-10. doi: 10.1016/S1470-2045(14)70460-7. Epub 2014 Oct 15.
8
Is axillary lymph node dissection necessary after sentinel lymph node biopsy in patients with mastectomy and pathological N1 breast cancer?对于接受乳房切除术且病理分期为N1期的乳腺癌患者，前哨淋巴结活检后是否有必要进行腋窝淋巴结清扫？
Ann Surg Oncol. 2014 Dec;21(13):4109-23. doi: 10.1245/s10434-014-3814-3. Epub 2014 Aug 1.
9
Routine completion axillary lymph node dissection for positive sentinel nodes in patients undergoing mastectomy is not associated with improved local control.在接受乳房切除术的患者中，对于前哨淋巴结阳性的常规完成腋窝淋巴结清扫术与改善局部控制无关。
Am J Surg. 2013 May;205(5):581-4; discussion 584. doi: 10.1016/j.amjsurg.2013.02.001.
10
Axillary dissection versus no axillary dissection in patients with sentinel-node micrometastases (IBCSG 23-01): a phase 3 randomised controlled trial.腋窝清扫与前哨淋巴结微转移患者不进行腋窝清扫（IBCSG 23-01）：一项 3 期随机对照试验。
Lancet Oncol. 2013 Apr;14(4):297-305. doi: 10.1016/S1470-2045(13)70035-4. Epub 2013 Mar 11.

腋窝清扫术。前哨淋巴结阳性乳腺癌患者行腋窝清扫术的单中心经验。

Axillary Dissection . no Axillary Dissection in Breast Cancer Patients With Positive Sentinel Lymph Node: A Single Institution Experience.

机构信息

Department of Surgical Sciences, Sant'Anna Hospital, Turin, Italy.

Gynecology and Obstetrics 1, Department of Surgical Sciences, University of Turin, Turin, Italy.

出版信息

In Vivo. 2019 Nov-Dec;33(6):1941-1947. doi: 10.21873/invivo.11689.

DOI:10.21873/invivo.11689
PMID:31662523
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6899081/
Abstract

BACKGROUND/AIM: Axillary surgery of breast cancer patients is undergoing a paradigm shift, as axillary lymph node dissection's (ALND) usefulness is being questioned in the treatment of patients with tumor-positive sentinel lymph node biopsy (SLNB). The aim of this study was to investigate the overall survival (OS) and relapse-free survival (RFS) of patients with positive SLNB treated with ALND or not.

PATIENTS AND METHODS

We investigated 617 consecutive patients with cN0 operable breast cancer with positive SLNB undergoing mastectomy or conservative surgery. A total of 406 patients underwent ALND and 211 were managed expectantly.

RESULTS

No significant difference in OS and RFS was found between the two groups. The incidence of loco-regional recurrence in the SLNB-only group and the ALND group was low and not significant.

CONCLUSION

The type of breast cancer surgery and the omission of ALND does not improve OS or RSF rate in cases with metastatic SLN.

摘要

背景/目的：随着腋窝淋巴结清扫术（ALND）在治疗前哨淋巴结活检阳性的乳腺癌患者中的作用受到质疑，乳腺癌患者的腋窝手术正在发生范式转变。本研究旨在探讨接受 ALND 或未接受 ALND 的前哨淋巴结活检阳性患者的总生存率（OS）和无复发生存率（RFS）。

患者和方法

我们调查了 617 例连续的 cN0 可手术乳腺癌伴前哨淋巴结活检阳性患者，均行乳房切除术或保乳手术。其中 406 例行 ALND，211 例采用期待治疗。

结果

两组间 OS 和 RFS 无显著差异。SLNB 组和 ALND 组局部区域复发的发生率较低且无显著性差异。

结论

对于转移性 SLN 患者，乳腺癌手术类型和省略 ALND 并不能提高 OS 或 RFS 率。