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选择合适的早期乳腺癌病人进行腋窝前哨淋巴结活检,可以减少由腋窝淋巴结清扫导致的并发症。因为腋窝前哨淋巴结活检的假阴性率低,故对前哨淋巴结阴性的病人可以不做进一步腋窝淋巴结清扫。对前哨淋巴结阳性的病人,标准治疗是进一步腋窝淋巴结清扫。腋窝淋巴结放疗可能在保证疗效的前提下,替代腋窝淋巴结清扫,降低由腋窝淋巴结清扫的并发症。
Selecting the appropriate early breast cancer patients for axillary lymph node biopsy can reduce the complications caused by axillary lymph node dissection. Because of the low false-negative rate of axillary sentinel lymph node biopsy, there is no need for further axillary lymph node dissection in SLN-negative patients. For patients with positive SLNs, standard treatment is further axillary lymph node dissection. Axillary lymph node radiotherapy may be to ensure the efficacy of the premise, instead of axillary lymph node dissection, reduce the complications of axillary lymph node dissection.