Intramammary sentinel lymph node in patients with breast cancer: Report of four cases

Intramammary sentinel lymph node in patients with breast cancer: Report of four cases
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DOI:
10.1007/s00595-007-3660-z
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发表时间:
2008-06-01
期刊:
影响因子:
2.5
通讯作者:
Aikou, Takashi
Aikou, Takashi
中科院分区:
医学4区
文献类型:
--
作者:
Kijima, Yuko;Yoshinaka, Heiji;Aikou, Takashi

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为了分析乳腺癌患者的乳房内前哨淋巴结,我们回顾了T1-T2 N 0乳腺癌患者进行前哨淋巴结定位使用放射性同位素方法。在166例患者中,4例检测到乳房内前哨淋巴结(ISN)。四个ISNs中的三个存在于与原发性病变完全不同的乳房象限中。尽管两名患者没有累及淋巴结(包括ISN),但其余两名T2肿瘤患者仅发生ISN转移,导致分期上调。我们应该记住除了原发肿瘤以外的区域存在乳房内SN,特别是在进行乳房保守手术时。
To analyze breast cancer patients with intramammary sentinel lymph node, we reviewed T1-T2N0 breast cancer patients who underwent sentinel lymph node mapping using radioisotope methods. Intramammary sentinel lymph (ISN) nodes were detected in 4 of 166 patients. Three of four ISNs were present in completely different quadrants of the breast from those of primary lesions. Although two patients had no involved nodes, including ISNs, the remaining two with T2 tumor had metastasis of ISNs alone with resulting upstaging. We should keep in mind the presence of intramammary SN in regions apart from the primary tumor, particularly when performing breast conservative surgery.