术前淋巴结显像在乳腺癌前哨淋巴结活检中的应用价值  

Application Value of Preoperative Lymphoscintigraphy and Sentinel Lymph Node Biopsy in Patients with Breast Cancer

作　　者：乔江华[1,2] 焦得闯[1,2] 卢振铎[1,2] 崔树德[1,2] 刘真真[1,2] 

机构地区：[1]郑州大学附属肿瘤医院 [2]河南省肿瘤医院,河南郑州450008

出　　处：《中国肿瘤》2014年第4期346-348,共3页China Cancer

摘　　要：[目的]探讨术前淋巴显像在乳腺癌前哨淋巴结活检中的应用价值。[方法]回顾性分析2010年7月至2013年8月在河南省肿瘤医院行前哨淋巴结活检术的乳腺癌患者1041例,其中483例患者术前行淋巴结显像,558例患者未行淋巴显像而术中直接行前哨淋巴结活检术。[结果]在淋巴显像组中,84.3%(407/483)的患者显像成功,该组SLNB的成功率为98.9%(478/483)。而在未行淋巴显像组中SLNB的成功率为98.7%(551/558)。两组SLNB检出成功率差异无统计学意义(P=0.78)。即使术前淋巴显像失败,其SLNB的检出成功率仍达到98.7%。[结论]术前淋巴显像并不能提高SLNB的成功率。因此,临床工作中行前哨淋巴结活检前,淋巴显像不是必备条件。[Purpose] To explore application value of preoperative lymphoscintigraphy and sentinel lymph node biopsy in breast cancer patients. [Methodsl A total of 1041 cases with breast cancer accepted sentinel lymph node biopsy （SLNB） from Henan Cancer Hospital from July 2010 to August 2013 were analyzed retrospectively. Four hundred and eighty-three cases of them received preoperative lymphoscintigraphy,but 558 cases of them accepted SLNB without preoperative lymphoseintigraphy. [Resuhs] In preoperative lymphoseintigraphy group,sentinel lymph nodes （SLN） were well im- aged by lymphoscintigraphy in 84.3%（407/483） of them,the successful rate of SLNB was 98.9%（478/ 483）;while the rate of 98.7%（551/558） in the group without preoperative lymphoscintigraphy. There was no significant statistically difference between the two groups（P=0.78）. Even preoperative lymphoscintigraphy failure detection,the success rate of SLNB still reached 98.7%.[Conclusion] Preoperative lymphoscintigraphy doesn＇t improve the successful rate of SLN identification,so it is not necessary to use preoperative lymphoscintigraphy before SLNB in early breast cancer.

关 键 词：淋巴显像 前哨淋巴结活检术 乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]