Level I and II axillary dissection in the treatment of early-stage breast cancer. An analysis of 259 consecutive patients.
Level I and II axillary dissection in the treatment of early-stage breast cancer. An analysis of 259 consecutive patients.
复制标题
I 级和 II 级腋窝淋巴结清扫术治疗早期乳腺癌。
作者：
Bruce A. Siegel;Kathleen A. Mayzel;Steven Love
一级和二级腋窝清扫包括解剖解剖腋窝一级和二级，不清除腋窝静脉或放置引流管。本文回顾了1981年至1988年期间259例连续治疗的ⅰ级和ⅱ级腋窝夹层保乳的结果，平均随访22.5个月（中位为27.1个月）。切除的淋巴结数量从2个到24个不等，平均为9个。腋窝血清肿是最常见的并发症（11例[4.2%]）。淋巴水肿7例（2.7%）。腋窝复发2例。这些结果表明，解剖定义的I级和II级腋窝解剖可以在限制发病率和复发的同时进行预后评估。此外，该手术可以在门诊安全完成，无需引流，具有进一步的心理和经济效益。
Level I and II axillary dissection involves anatomic dissection of levels I and II of the axilla without clearance of the axillary vein or placement of drains. The results of level I and II axillary dissection with breast conservation in a consecutive series of 259 patients treated from 1981 through 1988, with a mean follow-up of 22.5 months (median, 27.1 months) were reviewed. The number of nodes removed ranged from two to 24, with a mean of nine. Axillary seroma was the most frequent complication (11 patients [4.2%]). Lymphedema was observed in seven patients (2.7%). Axillary recurrences occurred in two patients. These results indicate that a level I and II axillary dissection defined anatomically allows prognostic evaluation while limiting morbidity and recurrence. In addition, this procedure can be done safely without drains on an outpatient basis, with further psychological and economic benefits.
影响因子：
158.5
作者：
FISHER, B;REDMOND, C;FOSTER, R
通讯作者：
FOSTER, R