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乳腺癌淋巴结转移:机制与分子影像学。

Lymph node metastases in breast cancer: Mechanisms and molecular imaging.

机构信息

Department of Ultrasound, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China.

Department of Ultrasound, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China.

出版信息

Clin Imaging. 2023 Nov;103:109985. doi: 10.1016/j.clinimag.2023.109985. Epub 2023 Sep 21.

DOI:10.1016/j.clinimag.2023.109985
PMID:37757640
Abstract

Breast cancer is the most common malignant disease of women in the world. Breast cancer often metastasizes to axillary lymph nodes. Accurate assessment of the status of axillary lymph nodes is crucial to the staging and treatment of breast cancer. None of the methods used clinically for preoperative noninvasive examination of axillary lymph nodes can accurately identify cancer cells from a molecular level. In recent years, with the in-depth study of lymph node metastases, the mechanisms and molecular imaging of lymph node metastases in breast cancer have been reported. In this review, we highlight the new progress in the study of the main mechanisms of lymph node metastases in breast cancer. In addition, we analyze the advantages and disadvantages of traditional preoperative axillary lymph node imaging methods for breast cancer, and list molecular imaging methods that can accurately identify breast cancer cells in lymph nodes.

摘要

乳腺癌是全世界女性最常见的恶性疾病。乳腺癌常转移至腋窝淋巴结。准确评估腋窝淋巴结的状态对乳腺癌的分期和治疗至关重要。目前临床上用于腋窝淋巴结术前无创检查的方法均无法从分子水平准确识别癌细胞。近年来,随着对淋巴结转移机制的深入研究,乳腺癌淋巴结转移的机制和分子影像学已有报道。在这篇综述中,我们重点介绍了乳腺癌淋巴结转移主要机制研究的新进展。此外,我们分析了传统乳腺癌术前腋窝淋巴结成像方法的优缺点,并列出了可准确识别淋巴结中乳腺癌细胞的分子成像方法。

相似文献

1
Lymph node metastases in breast cancer: Mechanisms and molecular imaging.乳腺癌淋巴结转移:机制与分子影像学。
Clin Imaging. 2023 Nov;103:109985. doi: 10.1016/j.clinimag.2023.109985. Epub 2023 Sep 21.
2
Gamma-probe-guided resection of the sentinel lymph node in breast cancer.γ探针引导下乳腺癌前哨淋巴结切除术
Am Surg. 1998 Jul;64(7):666-8; discussion 669.
3
Role of axillary lymph node dissection after tumor downstaging with induction chemotherapy for locally advanced breast cancer.诱导化疗使肿瘤降期后腋窝淋巴结清扫在局部晚期乳腺癌中的作用。
Ann Surg Oncol. 1998 Dec;5(8):673-80. doi: 10.1007/BF02303476.
4
Evolving imaging techniques for staging axillary lymph nodes in breast cancer.用于乳腺癌腋窝淋巴结分期的不断发展的成像技术。
Clin Radiol. 2018 Apr;73(4):396-409. doi: 10.1016/j.crad.2018.01.003. Epub 2018 Feb 10.
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Axillary staging of breast cancer: what the radiologist should know.腋窝分期乳腺癌:放射科医生应该知道什么。
Radiographics. 2013 Oct;33(6):1589-612. doi: 10.1148/rg.336125060.
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In vitro diagnosis of axillary lymph node metastases in breast cancer by spectrum analysis of radio frequency echo signals.通过射频回波信号频谱分析对乳腺癌腋窝淋巴结转移进行体外诊断。
Ultrasound Med Biol. 1998 Oct;24(8):1151-9. doi: 10.1016/s0301-5629(98)00100-8.
7
Axillary lymph node metastases in patients with small carcinomas of the breast: is accurate prediction possible?小乳腺癌患者腋窝淋巴结转移:能否进行准确预测?
Eur J Surg. 2000 Aug;166(8):610-5. doi: 10.1080/110241500750008259.
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Diagnostic Accuracy of Radioactive Iodine Seed Placement in the Axilla With Sentinel Lymph Node Biopsy After Neoadjuvant Chemotherapy in Node-Positive Breast Cancer.新辅助化疗后前哨淋巴结活检中腋窝放射性碘种子埋置对阳性淋巴结乳腺癌的诊断准确性。
JAMA Surg. 2022 Nov 1;157(11):991-999. doi: 10.1001/jamasurg.2022.3907.
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FDG-PET for axillary lymph node staging in primary breast cancer.用于原发性乳腺癌腋窝淋巴结分期的氟代脱氧葡萄糖正电子发射断层扫描(FDG-PET)
Eur J Nucl Med Mol Imaging. 2004 Jun;31 Suppl 1:S97-102. doi: 10.1007/s00259-004-1531-z. Epub 2004 May 5.
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Imaging axillary lymph nodes in patients with newly diagnosed breast cancer.新诊断乳腺癌患者腋窝淋巴结的影像学检查
Curr Probl Diagn Radiol. 2012 Sep-Oct;41(5):149-58. doi: 10.1067/j.cpradiol.2011.08.002.

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Predictive value of ultrasound assessment of axillary and brachial artery parameters for lymph node metastasis in breast cancer patients.超声评估腋窝和肱动脉参数对乳腺癌患者淋巴结转移的预测价值。
Am J Cancer Res. 2025 Mar 15;15(3):1066-1080. doi: 10.62347/EBEI7017. eCollection 2025.
2
Altered immune signatures in breast cancer lymph nodes with metastases revealed by spatial proteome analyses.空间蛋白质组分析揭示有转移的乳腺癌淋巴结中免疫特征的改变
J Transl Med. 2025 Apr 10;23(1):422. doi: 10.1186/s12967-025-06415-4.
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Occult breast cancer in an older woman: A case report.
老年女性隐匿性乳腺癌:一例病例报告。
Exp Ther Med. 2024 Dec 24;29(2):38. doi: 10.3892/etm.2024.12788. eCollection 2025 Feb.
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Early Warning of Axillary Lymph Node Metastasis in Breast Cancer Patients Using Multi-Omics Signature: A Machine Learning-Based Retrospective Study.基于多组学特征的乳腺癌患者腋窝淋巴结转移早期预警:一项基于机器学习的回顾性研究
Int J Gen Med. 2024 Dec 12;17:6101-6114. doi: 10.2147/IJGM.S499238. eCollection 2024.
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Development and Validation of a Nomogram for Axillary Lymph Node Metastasis Risk in Breast Cancer.乳腺癌腋窝淋巴结转移风险列线图的构建与验证
J Cancer. 2024 Oct 7;15(18):6122-6134. doi: 10.7150/jca.100651. eCollection 2024.