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采用超声造影评估临床腋窝阴性乳腺癌患者的腋窝淋巴结。

Evaluation of axillary lymph nodes in breast cancer patients with clinically negative axilla using contrast enhanced ultrasonography.

机构信息

Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India.

Department of Radiodiagnosis, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India.

出版信息

World J Surg Oncol. 2024 Aug 7;22(1):211. doi: 10.1186/s12957-024-03419-0.

DOI:10.1186/s12957-024-03419-0
PMID:39107826
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11304762/
Abstract

Contrast enhanced ultrasonography enables dynamic evaluation of the microvasculature down to the capillaries when using high resolution ultrasound probes. It's application in the evaluation of axillary lymph nodes in breast cancer patients with clinically negative axilla has been studied in 42 patients. The results of pre operative CEUS evaluation was correlated with histopathology status of axillary nodes after the harvesting of nodes during modified radical mastectomy or sentinel node biopsy. Heterogeneous enhancement with micro bubbles of the axillary nodes was found to be the most distinguishing criteria for malignant nodes.

摘要

超声造影可以使用高分辨率超声探头对微血管进行动态评估,甚至可以达到毛细血管水平。该技术已在 42 例临床腋窝阴性的乳腺癌患者的腋窝淋巴结评估中进行了研究。在改良根治性乳房切除术或前哨淋巴结活检术时获取腋窝淋巴结后,将术前超声造影评估的结果与腋窝淋巴结的组织病理学状态进行相关性分析。研究发现,腋窝淋巴结内微泡不均匀增强是恶性淋巴结的最显著特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f7/11304762/99f054d28990/12957_2024_3419_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f7/11304762/5d32794ea839/12957_2024_3419_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f7/11304762/99f054d28990/12957_2024_3419_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f7/11304762/5d32794ea839/12957_2024_3419_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f7/11304762/99f054d28990/12957_2024_3419_Fig2_HTML.jpg

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本文引用的文献

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2
Does Contrast Enhanced Ultrasound (CEUS) of Normal/Benign Axillary Lymph Nodes in Patients with Breast Cancer Identify Significant Axillary Nodal Burden?乳腺癌患者正常/良性腋窝淋巴结的超声造影(CEUS)能否识别显著的腋窝淋巴结负荷?
Eur J Radiol. 2020 Nov;132:109311. doi: 10.1016/j.ejrad.2020.109311. Epub 2020 Sep 28.
3
Contrast-Enhanced Ultrasound Imaging of Breast Masses: Adjunct Tool to Decrease the Number of False-Positive Biopsy Results.
乳腺肿块的超声造影检查:降低假阳性活检结果数量的辅助工具。
J Ultrasound Med. 2019 Sep;38(9):2259-2273. doi: 10.1002/jum.14917. Epub 2018 Dec 31.
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Meta-Analysis: Contrast-Enhanced Ultrasound Versus Conventional Ultrasound for Differentiation of Benign and Malignant Breast Lesions.荟萃分析:对比增强超声与传统超声在鉴别乳腺良恶性病变中的应用
Ultrasound Med Biol. 2018 May;44(5):919-929. doi: 10.1016/j.ultrasmedbio.2018.01.022. Epub 2018 Mar 9.
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J Ultrasound Med. 2016 Oct;35(10):2095-102. doi: 10.7863/ultra.15.10005. Epub 2016 Aug 8.
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