乳腺手术中腋窝淋巴结的新分类及其解剖学与临床的相关性
New classifications of axillary lymph nodes and their anatomical-clinical correlations in breast surgery.
作者信息
Cirocchi Roberto, Amabile Maria Ida, De Luca Alessandro, Frusone Federico, Tripodi Domenico, Gentile Patrizia, Tabola Renata, Pironi Daniele, Forte Flavio, Monti Massimo, D'Andrea Vito, Sorrenti Salvatore
机构信息
Department of Surgical Science, University of Perugia, Perugia, Italy.
Department of Surgical Sciences, Sapienza University of Rome, Viale Regine Elena 324, 00161, Rome, Italy.
出版信息
World J Surg Oncol. 2021 Mar 29;19(1):93. doi: 10.1186/s12957-021-02209-2.
BACKGROUND
In the last decade, two research groups, the French group by Clough et al. (Br J Surg. 97:1659-65, 2010) and the Chinese one by Li et al. (ISRN Oncol 2013:279013, 2013), proposed two types of classification of axillary lymph nodes in breast cancer, identifying novel anatomic landmarks for dividing the axillary space in lymph node dissection.
MAIN BODY
Knowledge of the exact location of the sentinel node helps to focus the surgical dissection and to reduce the morbidity of sentinel lymph node biopsy procedures, in particular the risk of arm lymphedema, without compromising sensitivity.
CONCLUSION
In this article, we aimed at focusing on the clinical impact that the most recent classifications of axillary lymph nodes have obtained in literature, highlighting the importance of defining new demarcations to preserve the axillary lymph nodes as much as possible in breast surgery.
背景
在过去十年中，两个研究团队，即Clough等人的法国团队（《英国外科杂志》。97:1659 - 65, 2010）和Li等人的中国团队（《国际肿瘤学研究杂志》2013:279013, 2013），提出了两种乳腺癌腋窝淋巴结分类方法，确定了在淋巴结清扫中划分腋窝空间的新解剖标志。
主体
了解前哨淋巴结的确切位置有助于集中手术清扫范围，并降低前哨淋巴结活检手术的发病率，特别是手臂淋巴水肿的风险，同时不影响敏感性。
结论
在本文中，我们旨在关注腋窝淋巴结最新分类在文献中所产生的临床影响，强调在乳腺手术中尽可能保留腋窝淋巴结时定义新边界的重要性。
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