乳腺癌患者腋窝淋巴结转移评估和诊疗策略研究进展

Research Progress on Evaluation and Treat-ment Strategy of Axillary Lymph Node Metastasis in Breast Cancer Patients

乳腺癌外科治疗理念在转变,在适合患者情况的前提下应避免更多的侵入性操作。有一些研究证实了前哨淋巴结活检(Sentinel lymph node biopsy, SLNB)结果为阳性的患者豁免腋窝淋巴结清扫(Axillary lymph node dissection, ALND)的安全性,本研究的目的是系统地回顾文献,分析乳腺癌患者腋窝淋巴结转移(Axillary lymph node metastasis, ALNM)的评估和诊疗现状,并对其前沿进展作一综述。

The concept of surgical treatment of breast cancer is changing, and more invasive procedures should be avoided under the premise of appropriate patient conditions. Several studies have con-firmed the safety of exempting Axillary lymph node dissection (ALND) in patients with positive Sen-tinel node biopsy (SLNB) results. The purpose of this study was to systematically review the litera-ture and analyze the current status of evaluation, diagnosis and treatment of Axillary lymph node metastasis (ALNM) in patients with breast cancer. The advances in this field are also summarized.