早期乳腺癌前哨淋巴结活检新热点问题思考

Thinking on new hot issues of sentinel lymph node biopsy in early breast cancer

随着乳腺癌综合治疗的进步,腋窝淋巴结的外科处理在循证医学证据的指导下呈现降级治疗的模式。早期乳腺癌前哨淋巴结活检的适应证、禁忌证等已经非常明确,但仍有很多临床实践中的具体问题是外科医师关注的热点。本文对新近发表的有关前哨淋巴结活检的相关研究进行讨论,以期引起外科同道对早期乳腺癌前哨淋巴结活检新热点问题的关注,推动规范手术和推广新治疗理念。

With the progress of comprehensive treatment of breast cancer,the surgical treatment of axillary lymph nodes presents a degraded treatment mode under the guidance of evidence-based medicine.The indications and contraindications of sentinel lymph node biopsy for early breast cancer have been very clear,but there are still many specific problems in clinical practice that surgeons are concerned about.This article discusses the recently published research on sentinel lymph node biopsy in order to draw the attention of surgical colleagues to the new hot issues of sentinel lymph node biopsy in early breast cancer,and promote standardized surgery and the promotion of new treatment concepts.