Rotter′s淋巴结在乳癌根治术中的重要意义

The Significace of Rotter ′s Nodes in Modified Radical Mastectomy

目的:评价乳癌仿根治术后Rotter′s淋巴结阳性率及其临床意义.方法:对184例乳癌仿根治术Rotter′s淋巴结单独病理检查,分析其与肿块大小、腋上组淋巴结、ER及HER-2表达的关系.结果:术后Rotter′s淋巴结共检出48例,阳性20例,检出率和阳性率分别为26.1%和10.9%;阳性组患者在肿块大小,腋上组淋巴结阳性率,ER及HER-2受体表达方面与未检出组,阴性组之间进行比较有明显统计学意义.结论:乳癌患者施行乳癌仿根治术应常规清除Rotter′s淋巴结,术后病理提示Rotter′s淋巴结阳性患者预后较差.

Objective:To evaluate the the clinical significances of the positive rate of Rotter′s node when the patients treated by modified radical mastectomy.Method:Through the pathological examination of 184 Rotter′s nodes,we analyse the relevance of the expression of the Rotter′s node,tumor size,supraclavicular lymph node and the expressive of ER and HER-2.Results:48 Rotter′s nodes are found in which 20 are metastatic carcinoma,the incidence rate is 26.1% and the positive rate is 10.9%;There is statistical significance in tumor size,supraclavicular lymph node and the expression of ER and HER-2 when the positive groups compare to the negative groups and the no Rotter′s node groups.Conclusion:The Rotter′s nodes should be routine eliminated in the modified radical mastectomy,and the prognosis were bad when the Rotter′s nodes are confirmed by pathological examination.