影响乳腺癌腋窝淋巴结转移的术前因素

Clinical Factors Before Operation Which Effect the Axillary Lymph Nodes Metastasis in Breast Cancer Patients

为探讨影响乳腺癌患者腋窝淋巴结转移的术前临床因素,回顾性分析565例确诊为乳腺癌患者的临床资料。结果显示:全组患者均为女性,年龄24~91岁,中位年龄54岁;205例(36.3%)患者有腋窝淋巴结转移。单因素分析结果显示,肿瘤大小、病理学类型有统计学意义,P值分别为0.000,0.000。结果表明肿瘤直径在2 cm以内、病理类型为非浸润性的乳腺癌患者,其腋窝淋巴结转移率相对较低,可考虑行腋窝前哨淋巴结活检以避免不必要的腋窝淋巴结清扫。

It explores the clinical factors before operation which effects the axillary lymph nodes metastasis in breast cancer patients. We have done the retrospective analysis to the clinical data in 565 patients with breast cancer. All the patients are female,aged between 24 ~ 91 years old,the median age is 54 years old. The axillary lymph nodes metastasis exist in 205 patients（ 36. 3%）. The single factor analysis results show that the tumor size and the pathological type are statistical significance.（ P〈0. 01）. The axillary lymph nodes metastasis rate is low in the breast cancer patients with the tumor size less than 2 cm and the non-invasive type in pathology. These patients can benefit from the sentinel lymph node biopsy.