Kelley Kathryn, Sener Stephen F
University of Southern California-Hoag Memorial Hospital Presbyterian Breast Surgical Oncology Fellowship, Los Angeles, California, USA.
Los Angeles General Medical Center, Los Angeles, California, USA.
J Surg Oncol. 2025 Jan;131(1):6-11. doi: 10.1002/jso.27753. Epub 2024 Jun 21.
Sentinel lymphadenectomy may be safely omitted for postmenopausal patients with low-risk estrogen-receptor-positive cancers who have a negative pretreatment axillary ultrasound. Surgical staging should still be done for patients who are premenopausal or postmenopausal with high-risk estrogen receptor-positive cancers, for those having neoadjuvant chemotherapy, or those with estrogen-receptor-negative or human epidermal growth factor receptor-positive cancers.
对于绝经后、雌激素受体阳性、低风险且术前腋窝超声检查阴性的癌症患者，可安全地省略前哨淋巴结切除术。对于绝经前或绝经后、雌激素受体阳性、高风险癌症患者、接受新辅助化疗的患者或雌激素受体阴性或人表皮生长因子受体阳性癌症患者，仍应进行手术分期。
