乳腺癌前哨淋巴结活检的临床意义

Sentinel lymph node biopsy in breast carcinoma

目的:探讨乳腺癌患者前哨淋巴结活检(sentinel lymph node biopsy,SLNB)的可行性与临床意义。方法:23例乳腺癌患者术中癌周注射1%亚甲蓝溶液4ml,15min后行SLNB并独立送病理检查。结果:前哨淋巴结(sentinel lymph node,SLN)检出22例,检出成功率为95.7%,敏感6/7,假阴性率为4.76%(1/21)。结论:乳腺癌SLNB是一种简便、安全的检测技术,可用于了解腋窝淋巴结的状况。

Objective：To observe the feasibility and clinical significance of sentinel lymph node biopsy （SLNB） in patients with breast cancer. Methods：Twenty three cases of breast cancer were given 4 ml of 1% methylene blue solution;and 15 minutes later, SLNB was carried out and inspected separately. Results ： SLN was detected in 22 of the 23 cases （ 95.7 % ）, with a sensitivity rate of 6/7 and false negative rate of 4.76% （ 1/21 ）. Conclusions：SLNB is a simple and safe technic ,which helps to reveal the state of the axillary lymph nodes.