Bakholdt V T, Løntoft E, Pedersen N B
Odense Universitets Hospital, plastikkirurgisk afdeling.
Ugeskr Laeger. 1998 Aug 10;160(33):4776-8.
The purpose of the study was to evaluate palpation of the regional lymph nodes in control examinations of patients with malignant disease. A retrospective review of the medical records of 188 cases in which the patients had had an extirpation of the regional lymph nodes was performed. We have compared the preoperative findings through palpation with the histological diagnosis. The patients were grouped according to the region in which the lymph node removal had been done. The specificity of palpation when the histological diagnosis was malignant was (with 95% confidence limits), in the axilla 0.65 (0.54-0.75), in the inguinal region 0.86 (0.75-0.94) on the neck 0.83 (0.52-0.98) and in the suprahyoid region 0.58 (0.28-0.85). In conclusion, palpation of regional lymph nodes is not a sufficient control examination in the estimation of the course of malignant disease. Supplementary examination methods are recommended.
本研究的目的是评估在恶性疾病患者的对照检查中区域淋巴结的触诊情况。对188例患者进行了区域淋巴结切除的病历进行回顾性研究。我们将术前触诊结果与组织学诊断进行了比较。根据淋巴结切除的部位对患者进行分组。当组织学诊断为恶性时，触诊的特异性（95%置信区间）为：腋窝0.65（0.54 - 0.75），腹股沟区0.86（0.75 - 0.94），颈部0.83（0.52 - 0.98），舌骨上区0.58（0.28 - 0.85）。总之，在评估恶性疾病病程时，区域淋巴结触诊不是充分的对照检查。建议采用辅助检查方法。
