Kauczor H U, Voges E M, Wieland-Schneider C, Mitze M, Thelen M
Klinik mit Poliklinik für Radiologie, Universität Mainz, Germany.
Eur J Radiol. 1994 May;18(2):104-8. doi: 10.1016/0720-048x(94)90274-7.
The aim of this study was to review usefulness and intervals for abdominal sonography during the follow-up of breast cancer patients. Additionally, we assessed the value of regional lymph node sonography in patients with possible locoregional recurrence.
Retrospectively, 2657 abdominal ultrasound examinations of 414 patients and 299 sonographic examinations of the regional lymph nodes in 227 patients after surgical treatment for breast cancer were evaluated.
Follow-up abdominal sonography revealed metastases in 6.8% of patients, and in 1% of examinations. There was no dependence on the initial T- or N-stage. At sonography of the regional lymph nodes in patients with suspicious palpatory findings metastatic nodes were found in 15.9% of patients, and in 12% of examinations.
Risk-adapted follow-up intervals for abdominal sonography cannot be proposed, regular examinations are not recommended. Lymph node sonography is useful and promising in the evaluation of suspicious palpatory findings.
本研究旨在回顾乳腺癌患者随访期间腹部超声检查的实用性及检查间隔时间。此外，我们评估了区域淋巴结超声检查对可能发生局部区域复发患者的价值。
回顾性评估了414例患者的2657次腹部超声检查以及227例乳腺癌手术治疗后患者的299次区域淋巴结超声检查。
随访腹部超声检查显示6.8%的患者及1%的检查发现转移灶。转移情况与初始T分期或N分期无关。对有可疑触诊结果的患者进行区域淋巴结超声检查时，15.9%的患者及12%的检查发现转移淋巴结。
无法提出根据风险调整的腹部超声检查随访间隔时间，不建议进行定期检查。淋巴结超声检查在评估可疑触诊结果方面有用且前景良好。
