Hartmann Steffi, Stachs Angrit, Kühn Thorsten, de Boniface Jana, Banys-Paluchowski Maggie, Reimer Toralf
Universitätsklinikum Rostock, Klinik für Gynäkologie und Geburtshilfe, Rostock, Germany.
Klinikum Esslingen, Klinik für Gynäkologie und Geburtshilfe, Esslingen, Germany.
Geburtshilfe Frauenheilkd. 2021 Oct;81(10):1121-1127. doi: 10.1055/a-1471-4234. Epub 2021 Oct 6.
In breast cancer patients who have received primary chemotherapy and then no longer have any suspicious lymph nodes clinically and/or on imaging, marking of initially suspicious axillary lymph nodes with targeted removal has recently been discussed and practised both in Germany and internationally as an alternative to complete axillary lymph node dissection. Tattooing of the suspicious lymph nodes with a highly purified carbon suspension is currently being investigated in clinical studies. Compared with other techniques, the advantages of this method are the high rate of intraoperative lymph node detection, avoidance of an immediately preoperative localisation procedure and the low costs. The practical aspects of lymph node tattooing and the current data regarding this method will be described.
在接受过原发性化疗且临床上和/或影像学检查均不再有任何可疑淋巴结的乳腺癌患者中，对最初可疑的腋窝淋巴结进行标记并针对性切除，最近在德国和国际上都已被讨论并实践，作为完全腋窝淋巴结清扫术的一种替代方法。目前临床研究正在调查使用高纯度碳悬浮液对可疑淋巴结进行纹身。与其他技术相比，该方法的优点是术中淋巴结检出率高、避免术前立即进行定位程序且成本低。将描述淋巴结纹身的实际操作方面以及有关该方法的当前数据。
