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目的探讨前哨淋巴结活检在乳腺癌手术中的应用。方法从本院选取35位外科手术治疗乳腺癌患者,平均年龄41.5岁,其中,肿块位置在内上象限6例,外上象限20例,外下象限5例,乳头下方1例,乳头上方3例。行前哨淋巴结活检,术后全部淋巴结送病理检查。结果所有35例患者中,共检出前哨淋巴结67个,病理检查,证实为阳性的21个,阳性检出率31.3%,33例找到前哨淋巴结,准确率为94.2%,灵敏度为100%,假阴性率为0,假阳性率为0。结论乳腺癌前哨淋巴结活检术能更少的减少手术并发症,提高患者术后的生活质量。
Objective To investigate the application of sentinel lymph node biopsy in breast cancer surgery. Methods A total of 35 surgical patients with breast cancer were selected from our hospital. The mean age was 41.5 years old. Among them, the location of the tumor was 6 in the upper quadrant, 20 in the upper quadrant, 5 in the lower quadrant, 1 in the lower nipple and 3 in the upper nipple example. Line sentinel lymph node biopsy, all postoperative lymph node biopsy. Results Seventy-five cases of sentinel lymph nodes were detected in all 35 cases. Twenty-one of them were confirmed positive by pathology, the positive rate was 31.3%. Sentinel lymph node was found in 33 cases with the accuracy of 94.2%, the sensitivity of 100% The negative rate was 0 and the false positive rate was 0. Conclusions Sentinel lymph node biopsy of breast cancer can reduce surgical complications less and improve postoperative quality of life.