乳腺癌同侧锁骨上淋巴结转移局部手术价值探讨  

Role of supraclavicular lymph node dissection in treatment strategies for ipsilateral supraclavicular lymph node metastasis of breast cancer

作　　者：温鑫鑫 王磊 余婧 杨继鑫 杨玉庆 李南林 WEN Xinxin;WANG Lei;YU Jing;YANG Jixin;YANG Yuqing;LI Nanlin(Department of Thyroid,Breast and Vascular Surgery,Xijing Hospital,Air Force Medical University,Xi’an 710032,China)

机构地区：[1]空军军医大学西京医院甲乳血管外科,陕西西安710032

出　　处：《医学争鸣》2021年第5期36-38,43,共4页Negative

摘　　要：乳腺癌同侧锁骨上淋巴结转移(ISLM)属于局部晚期,患者预后较差,复发转移风险极高。ISLM患者曾经一度被认为是无法治愈的晚期患者,但随着乳腺癌诊疗技术的进步,该类患者已经有望获得完全治愈。ISLM患者需要积极的系统和局部治疗才能获得良好的预后。在局部治疗方案中,锁骨上淋巴结清扫手术的价值一直存在争议。本文就锁骨上淋巴结清扫手术在ISLM患者治疗中存在的争议进行梳理分析,以寻求答案。Ipsilateral supraclavicular lymph node metastasis (ISLM) in breast cancer patients indicated advanced local disease,poor prognosis,and high risk of relapse and distant metastasis.Patients diagnosed with ISLM were considered as advanced patients who had no chances to be cured off in the past.However,along with tremendous advances in diagnosis and treatment skills of breast cancer,patients diagnosed with ISLM have a hope of being cured off nowadays.They need active systemic and local treatment to achieve ideal prognosis.There is controversy in the role of supraclavicular lymph node dissection in local treatment strategies for ISLM patients.In this paper,we reviewed the clinical trial data and tried to find out the answer to this question.

关 键 词：乳腺肿瘤 锁骨上淋巴结转移 淋巴结清扫术 

分 类 号：R737.9[医药卫生—肿瘤]