前哨淋巴结活检阴性乳腺癌患者行低位部分腋窝淋巴结清扫的必要性探讨

刘轩; 张信来; 布日古德

doi:10.3971/j.issn.1000-8578.2018.18.0702

前哨淋巴结活检阴性乳腺癌患者行低位部分腋窝淋巴结清扫的必要性探讨

Necessity of Low Partial Axillary Lymph Node Dissection for Breast Cancer Patients with Negative Result of Sentinel Lymph Node Biopsy

摘要

摘要:
目的探讨前哨淋巴结活检（sentinel lymph node biopsy, SLNB）阴性行低位部分腋窝淋巴结清扫（low partial axillary lymph node dissection, LPALND）的必要性。
方法收集138例影像学检查提示腋窝淋巴结肿大、SLNB阴性（≤4枚）并进一步行LPALND乳腺癌患者临床病理资料进行回顾性分析，探讨患者行LPALND的必要性。
结果 SLNB 2枚组、3枚组与4枚组发生LPALN转移概率比较差异均无统计学意义（P > 0.05）。但1枚组与4枚组发生LPALN转移概率比较差异有统计学意义（P < 0.05）。
结论对影像学检查提示腋窝淋巴结肿大行SLNB 1枚阴性患者应行LPALND，2~3枚阴性患者建议行LPALND，4枚阴性患者可免于行LPALND。

Abstract:
Objective To investigate the necessity of low partial axillary lymph node dissection (LPALND) for breast cancer patients with negative result of sentinel lymph node biopsy(SLNB).
Methods We retrospectively analyzed clinical data of 138 breast cancer patients with swelling axillary lymph node and negative result of SLNB ≤4 who received low partial axillary lymph node dissection.
Results There was no significant difference in the probability of LPALN metastasis among three groups with two, three and four SLNs (P > 0.05); but there was significant difference between two groups with one and four SLNs (P < 0.05).
Conclusion Breast cancer patients with swelling axillary lymph node and one negative SLN should be treated with LPALND; those with two-three negative SLNs are recommended to do LPALND; while those with four negative SLNs are recommended to be exempt from LPALND.

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