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乳腺外乳区间质淋巴管丛血管的形态功能特征与腋窝淋巴结转移乳腺癌的关系。

Morphofunctional Characteristics of the Vessels of the Subareolar Lymphatic Plexus in Breast Cancer with Metastasis to the Lymph Nodes of the Axillary Lymphatic Collector.

机构信息

Avtsyn Research Institute of Human Morphology, Petrovsky Russian Research Center of Surgery, Moscow, Russia.

Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation, Moscow, Russia.

出版信息

Bull Exp Biol Med. 2024 Jul;177(3):374-378. doi: 10.1007/s10517-024-06192-y. Epub 2024 Aug 14.

DOI:10.1007/s10517-024-06192-y
PMID:39138790
Abstract

The subareolar Sappey's plexus was studied using color lymphography and immunohistochemical methods with a panel of antibodies to podoplanin, smooth muscle actin, low molecular weight cytokeratin AE1/AE3, and GATA3 on archival material obtained during radical mastectomies and sectoral resections with lymph node dissection from 86 patients diagnosed with non-special type breast cancer. At the macro- and microscopic levels, the connection between the subareolar lymphatic plexus and the lymphatic system of the breast parenchyma has been demonstrated. In triple negative breast cancer with metastases to the axillary lymph nodes, the involvement of subareolar lymphatic plexus into lymphogenous metastasis to the lymph nodes of the axillary lymphatic collector was shown.

摘要

乳晕下 Sappey 丛采用彩色淋巴造影术和免疫组织化学方法研究,使用一组针对 podoplanin、平滑肌肌动蛋白、低分子量细胞角蛋白 AE1/AE3 和 GATA3 的抗体,对 86 例经根治性乳房切除术和区域性切除术获得的存档材料进行检测,这些患者均被诊断为非特殊型乳腺癌,并行淋巴结清扫。在宏观和微观水平上,已经证明了乳晕下淋巴管丛与乳腺实质淋巴管之间的联系。在腋窝淋巴结转移的三阴性乳腺癌中,乳晕下淋巴管丛参与了向腋窝淋巴结淋巴管的淋巴转移。

相似文献

1
Morphofunctional Characteristics of the Vessels of the Subareolar Lymphatic Plexus in Breast Cancer with Metastasis to the Lymph Nodes of the Axillary Lymphatic Collector.乳腺外乳区间质淋巴管丛血管的形态功能特征与腋窝淋巴结转移乳腺癌的关系。
Bull Exp Biol Med. 2024 Jul;177(3):374-378. doi: 10.1007/s10517-024-06192-y. Epub 2024 Aug 14.
2
Sentinel lymph node mapping in breast cancer using subareolar injection of blue dye.使用乳晕下注射蓝色染料进行乳腺癌前哨淋巴结定位
J Am Coll Surg. 1999 Dec;189(6):539-45. doi: 10.1016/s1072-7515(99)00200-8.
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Improved lymphatic mapping technique for breast cancer.用于乳腺癌的改良淋巴绘图技术。
Breast J. 2001 Jul-Aug;7(4):219-23. doi: 10.1046/j.1524-4741.2001.20120.x.
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Analysis of direct oil contrast lymphography of upper limb lymphatics traversing the axilla -- a lesson from the past -- contribution to the concept of axillary reverse mapping.上肢淋巴管经腋窝直接油对比淋巴造影分析——历史的教训——对腋窝逆行解剖概念的贡献。
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Subareolar injection of technetium-99m nanocolloid yields reliable data on the axillary lymph node tumour status in breast cancer patients with previous manipulations on the primary tumour: a prospective study of 117 patients.乳晕下注射99m锝纳米胶体可为先前对原发性肿瘤进行过处理的乳腺癌患者腋窝淋巴结肿瘤状态提供可靠数据:一项针对117例患者的前瞻性研究。
Eur J Nucl Med Mol Imaging. 2004 May;31(5):671-5. doi: 10.1007/s00259-003-1447-z. Epub 2004 Jan 27.
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Axillary reverse mapping (ARM): a new concept to identify and enhance lymphatic preservation.腋窝反向映射(ARM):一种识别和加强淋巴管保留的新概念。
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Relationship between existence of lymphatic invasion in peritumoral breast tissue and presence of axillary lymph node metastasis in invasive ductal carcinoma of the breast.乳腺肿瘤周围组织中淋巴管浸润的存在与乳腺浸润性导管癌腋窝淋巴结转移的关系。
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Sentinel node biopsy and cytokeratin staining for the accurate staging of 478 breast cancer patients.前哨淋巴结活检及细胞角蛋白染色用于478例乳腺癌患者的准确分期
Am Surg. 1999 Jun;65(6):500-5; discussion 505-6.
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Characteristics of the sentinel lymph node in breast cancer predict further involvement of higher-echelon nodes in the axilla: a study to evaluate the need for complete axillary lymph node dissection.乳腺癌前哨淋巴结的特征可预测腋窝中更高层级淋巴结的进一步受累情况:一项评估腋窝淋巴结清扫必要性的研究
Arch Surg. 2001 Jun;136(6):688-92. doi: 10.1001/archsurg.136.6.688.

本文引用的文献

1
GATA3 expression in triple-negative breast cancers.GATA3 在三阴性乳腺癌中的表达。
Histopathology. 2017 Jul;71(1):63-71. doi: 10.1111/his.13187. Epub 2017 Apr 19.
2
Biological Subtypes and Distant Relapse Pattern in Breast Cancer Patients After Curative Surgery (Study of Anatolian Society of Medical Oncology).根治性手术后乳腺癌患者的生物学亚型及远处复发模式(安纳托利亚医学肿瘤学会研究)
Breast Care (Basel). 2016 Aug;11(4):248-252. doi: 10.1159/000448186. Epub 2016 Aug 9.
3
The relationship between lymphovascular invasion and angiogenesis, hormone receptors, cell proliferation and survival in patients with primary operable invasive ductal breast cancer.
原发性可手术浸润性导管乳腺癌患者的淋巴管浸润与血管生成、激素受体、细胞增殖及生存之间的关系。
BMC Clin Pathol. 2013 Nov 25;13(1):31. doi: 10.1186/1472-6890-13-31.
4
GATA3 expression in breast carcinoma: utility in triple-negative, sarcomatoid, and metastatic carcinomas.GATA3 在乳腺癌中的表达:在三阴性、肉瘤样和转移性癌中的应用。
Hum Pathol. 2013 Jul;44(7):1341-9. doi: 10.1016/j.humpath.2012.11.003. Epub 2013 Jan 31.
5
The lymphatics of the breast.乳房的淋巴管
Br J Surg. 1959 May;46:574-82. doi: 10.1002/bjs.18004620004.
6
Improved lymphatic mapping technique for breast cancer.用于乳腺癌的改良淋巴绘图技术。
Breast J. 2001 Jul-Aug;7(4):219-23. doi: 10.1046/j.1524-4741.2001.20120.x.