van de Weijer G H, van Ooijen B, Hesp W L, Blom W F
Drechtsteden Ziekenhuis, locatie Refaja, afd. Chirurgie, Dordrecht.
Ned Tijdschr Geneeskd. 1995 Aug 12;139(32):1648-50.
Five women, between 53 and 78 years old, had axillary lymph node disseminations without a primary breast tumour being found at clinical and radiological investigations. There is much uncertainty about the treatment to be applied in such cases. The patients' breasts were left untreated. One patient had a manifest breast tumour after 6 months' follow-up. The other four patients did not show any sign of a primary tumour after a median follow-up of 26 months (21-96). An expectative policy has already found support in medical literature. The axilla should preferably be treated with axillary lymph node dissection.
5名年龄在53至78岁之间的女性出现腋窝淋巴结转移，在临床和影像学检查中未发现原发性乳腺肿瘤。对于此类病例应采用何种治疗方法存在诸多不确定性。这些患者的乳房未接受治疗。1例患者在随访6个月后出现明显的乳腺肿瘤。其他4例患者在中位随访26个月（21 - 96个月）后未显示出原发性肿瘤的任何迹象。保守观察策略已在医学文献中得到支持。腋窝最好采用腋窝淋巴结清扫术进行治疗。
