Appelqvist P, Saario I, Pantzar P, Lehtola A
J Surg Oncol. 1983 Mar;22(3):147-50. doi: 10.1002/jso.2930220302.
Thirty-seven axillary status of patients with breast carcinoma was studied with preoperative and peroperative palpation before mastectomy and total axillary dissection. Special attention was paid to the clinical suspiciousness and size of axillary nodes. The preoperative axillary palpation gave false diagnosis of axillary content 27% of the time and peroperative, 19%. Of all 249 nodes studied, 54 were found to contain malignant growth in routine histological examination. Mean diameter of malignant nodes was 12.4 mm and of benign nodes, 6.3 mm. The most clinically suspect axillary lymph node gave correct diagnosis of axillary status in 72% of the cases. The 2 most suspect lymph nodes together were positive in 89%. There was no case with histologically positive axilla where none of the 3 most suspect lymph nodes was malignant. We conclude that at least the 3 most suspect axillary lymph nodes must be removed for histological examination to be sure that axillary metastasizing of breast carcinoma can be found by routine histological examination.
在乳房切除术和全腋窝淋巴结清扫术前及术中触诊的基础上，对37例乳腺癌患者的腋窝状况进行了研究。特别关注了腋窝淋巴结的临床可疑性和大小。术前腋窝触诊对腋窝内容物的误诊率为27%，术中触诊的误诊率为19%。在所有研究的249个淋巴结中，常规组织学检查发现54个含有恶性肿瘤。恶性淋巴结的平均直径为12.4毫米，良性淋巴结的平均直径为6.3毫米。临床上最可疑的腋窝淋巴结在72%的病例中对腋窝状况做出了正确诊断。2个最可疑的淋巴结一起时，阳性率为89%。在组织学上腋窝阳性的病例中，没有一例3个最可疑的淋巴结均无恶性病变。我们得出结论，至少必须切除3个最可疑的腋窝淋巴结进行组织学检查，以确保通过常规组织学检查能够发现乳腺癌的腋窝转移。
