超声在乳腺癌前哨淋巴结检查中的应用研究进展

Research advances on the application of ultrasound in sentinel lymph node examination of breast cancer

常规腋窝淋巴结清扫手术后容易引起乳腺癌患者同侧上肢水肿,治疗比较棘手,对患者生活质量影响较大。前哨淋巴结是乳腺癌患者常见的局部转移部位,明确腋窝淋巴结转移与否是制定个体化治疗的关键信息。乳腺癌中前哨淋巴结转移是患者复发率及整体生存率的预测因素,其状态直接决定手术范围及其乳房切除术后是否进行放射治疗。随着临床影像学的发展,超声造影在乳腺癌前哨淋巴结检查中得到广泛应用,可提高检查准确率。本文现将超声在乳腺癌前哨淋巴结检查中的应用综述如下,以望对临床相关工作提供参考。

Conventional axillary lymph node dissection is prone to cause ipsilateral upper limb edema in patients with breast cancer,which is difficult to treat and has a greater impact on the quality of life of patients.Sentinel lymph nodes are a common site of local metastasis in breast cancer patients,and identifying the presence or absence of axillary lymph node metastasis is the key information for developing individualized treatment.Sentinel lymph node metastasis in breast cancer is a predictor of patient recurrence and overall survival rates,and its status directly determines the extent of surgery and whether radiation therapy is performed after mastectomy.With the development of clinical imaging,contrast-enhanced ultrasound has been widely employed in sentinel lymph node examination for breast cancer,which can raise examination accuracy.This article reviews the application of ultrasound in sentinel lymph node examination of breast cancer as follows,in order to provide evidence clinically.