乳腺癌前哨淋巴结超声造影的初步研究  

Preliminary study on sentinel lymph node detection by contrast-enhanced ultrasound in patients with breast cancer

作　　者：李娅[1] 常才 张迅[2,3] 乐坚 范亦武[2,3] 周世崇 

机构地区：[1]泰州市第四人民医院功能科,江苏泰州225300 [2]复旦大学附属肿瘤医院超声诊断科 [3]复旦大学上海医学院肿瘤学系,上海200032

出　　处：《肿瘤影像学》2014年第3期216-218,共3页Oncoradiology

基　　金：上海市卫生局青年科研基金(No:2010Y206);复旦大学附属肿瘤医院影像基金(No:YX201201;YX201301)

摘　　要：目的研究超声造影技术是否可用于探测乳腺癌前哨淋巴结,是否比传统同位素联合亚甲蓝示踪探测技术有优势。方法对36例乳腺癌患者先后进行超声造影、同位素联合亚甲蓝示踪法两项检查探测乳腺癌患者腋下前哨淋巴结,对比病理结果,进行分析。结果超声造影技术发现前哨淋巴结的准确率为88.89%,同位素联合亚甲蓝示踪法发现前哨淋巴结的准确率为97.22%。结论超声造影可发现乳腺癌腋下前哨淋巴结,但其准确率略低于同位素联合亚甲蓝示踪法,临床价值还需进一步研究。Objective To study the application feasibility of contrast-enhanced ultrasound （CEUS） in sentinel lymph node （SLN） detection in patients with breast cancer, and to compare it with traditional methylene blue dye combined with radioisotope as tracer. Methods Thirty-six patients with breast cancer received axillary SLN detection by CEUS and methylene blue dye combined with radioisotope before surgery. The results were compared and analyzed. Results The accuracies of CEUS and methylene blue dye combined with radioisotope were 88.89% and 97.22%, respectively. Conclusion CEUS can detect SLNs, but not better than methylene blue dye in combined with radioisotope. The value of CEUS needs more research.

关 键 词：乳腺癌 前哨淋巴结 超声造影 

分 类 号：R445.1[医药卫生—影像医学与核医学]