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作者对18例乳癌患者,于术前经癌灶周及癌灶中央注入吸附抗癌药物的微颗粒活性炭(mmc-CH40),术中以mmc-CH40染黑的淋巴结作为清除的标志。结果表明:①术前经癌周及癌灶中央注墨,术中均可见到淋巴结广泛黑染;②癌周及癌中央注墨淋巴结的黑染率无差异;③经癌周注墨淋巴结黑染度为87.9%,高于经癌中央注墨组的59.7%;④注墨组黑染及未黑染的淋巴结转移度无显著差异;⑤注墨组平均每例清除30个淋巴结,明显高于对照组(15.6个)。结论:术前癌灶周注入微颗粒活性炭对乳癌淋巴结清除有指导意义。
The author of the 18 cases of breast cancer patients before surgery by the tumor weeks and the center of the tumor into the adsorption of anti-cancer drug micro-particle activated carbon (mmc-CH40), intraoperative lymph node staining with mmc-CH40 as a marker of removal. The results showed that: 1 before the operation, the tumor was infiltrated by the tumor and the tumor center, and the lymph nodes were widely stained during the operation. 2 There was no difference in the black staining rate between the cancerous region and the tumor-injected lymph node; 3 The degree of staining was 87.9%, which was higher than that of the central ink-injection group of 59.7%; the degree of lymph node metastasis of the black-infected and non-dark-stained group of the 4 ink-injection group had no significant difference; 5 Lymph nodes were significantly higher than the control group (15.6). Conclusion: Intraperitoneal injection of microgranular activated carbon in the preoperatively invasive lesions has guiding significance for lymph node metastasis of breast cancer.