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目的探讨超声引导下粗针活检锁骨上淋巴结对指导乳腺癌治疗的临床价值。方法回顾性分析86例乳腺癌伴锁骨上淋巴结肿大超声引导下粗针穿刺活检结果,与其术后病理结果对照分析。结果所有患者均穿刺成功,术后无并发症。活检病理学结果显示:其中71例为淋巴结内腺癌转移,免疫标记支持乳腺来源可能,2例为考虑甲状腺乳头状癌转移/浸润,9例为淋巴结反应性增生,2例为淋巴结结核,1例镜下见坏死组织,1例因组织破碎无结果。与术后病理学结果相比较,84例相符,2例为假阳性,故超声引导下粗针活检对锁骨上淋巴结诊断的准确率为97.7%。结论超声引导下粗针活检锁骨上淋巴结有很高的诊断价值,是一种安全、有效的方法。对指导乳腺癌治疗方案的选择有指导价值。
Objective To investigate the clinical value of ultrasound-guided needle biopsy of supraclavicular lymph nodes in the treatment of breast cancer. Methods A retrospective analysis of 86 cases of breast cancer with supraclavicular lymphadenectomy under the guidance of the needle-core needle biopsy results and postoperative pathological results of controlled analysis. Results All patients had successful puncture and no postoperative complications. The results of biopsy pathology showed that 71 of them were metastasis of adenocarcinoma of lymph nodes, the immunological markers could support the origin of mammary gland, 2 cases of thyroid papillary carcinoma metastasis / infiltration, 9 cases of lymph node reactive hyperplasia, 2 cases of lymph node tuberculosis, 1 Cases of necrotic tissue see the mirror, a result of tissue disruption without results. Compared with the postoperative pathological results, 84 cases were consistent and 2 cases were false positive. Therefore, the accuracy of needle biopsy on the diagnosis of supraclavicular lymph nodes was 97.7%. Conclusion Ultrasound guided needle biopsy of the supraclavicular lymph nodes has a high diagnostic value, is a safe and effective method. The choice of guiding breast cancer treatment options has guiding value.