Detection of parasternal metastatic lymph nodes by sentinel lymph node methods in a patient with recurrence in the conserved breast
Detection of parasternal metastatic lymph nodes by sentinel lymph node methods in a patient with recurrence in the conserved breast
复制标题
前哨淋巴结法检测保留乳腺复发患者胸骨旁转移淋巴结
作者：
T. Yamashita;T. Fujita;H. Hayashi;Y. Ando;Y. Hato;A. Horio;Chieko Toyoshima;Mai Yamada;H. Iwata
我们在此报告一例第二前哨淋巴结活检（SLNB）。一位57岁女性于2003年10月20日在爱知癌症中心接受保乳手术，包括腋窝清除术。2006年3月诊断出保留乳房的复发性肿瘤。她接受了使用放射性示踪剂的SLNB。术前淋巴结造影发现2个胸骨旁淋巴结为热点。术前计算机断层扫描未发现异常淋巴结。沿着进行挽救性乳房切除术，同时清除Rotter和锁骨下淋巴结，并对检测到的胸骨旁淋巴结进行活检。在作为前哨淋巴结检测的两个胸骨旁淋巴结中发现微转移。其他淋巴结未见转移。再次手术SLNB提供了检测残留淋巴结转移和确定是否应该使用化疗的可能性。
We herein report a case of second sentinel lymph node biopsy (SLNB). A 57-year-old woman underwent breast-conserving surgery including axillary clearance at Aichi Cancer Center on October 20, 2003. Recurrent tumor in the conserved breast was diagnosed in March 2006. She received SLNB using radioactive tracer. Preoperative lymphoscintigraphy detected 2 parasternal lymph nodes as hot spots. No abnormal lymph nodes were revealed on preoperative computed tomography. Salvage mastectomy was performed along with dissection of the Rotter and infraclavicular lymph nodes and biopsy of the detected parasternal lymph nodes. Micrometastases were discovered in both parasternal lymph nodes detected as sentinel lymph nodes. No more metastases were seen in the other lymph nodes. Reoperative SLNB offers the possibility of detecting metastasis in residual lymph nodes and determining whether chemotherapy should be used.
影响因子：
158.5
作者：
FISHER, B;REDMOND, C;SIDOROVICH, L
通讯作者：
SIDOROVICH, L