Incidence of nodes in completion mastectomy specimens following breast conservation and axillary clearance
Incidence of nodes in completion mastectomy specimens following breast conservation and axillary clearance
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DOI：
10.1046/j.1365-2168.2002.02203.x
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发表时间：
2002-10-01
影响因子：
9.6
通讯作者：
Webster, DJ
中科院分区：
文献类型：
--
作者：
Khonji, NI;Edwards, R;Webster, DJ
结果54例符合纳入标准，淋巴结阳性30例（56%），阴性24例（44%）。11名妇女（20%）在完成乳房切除术病理报告中记录了淋巴结。在30例淋巴结阳性的患者中，7例在完成乳房切除术时有淋巴结，而在24例淋巴结阴性的患者中有4例在完成乳房切除术时有淋巴结，P= 0.55，c2检验）。在完成乳房切除术标本中发现淋巴结的11例妇女中有12 0例，在完成乳房切除术标本中未发现淋巴结的43例妇女中有12 6例，P= 0 69，Student’s t检验）。11例患者在完成乳房切除术时发现的淋巴结平均数为19个（1±5）。在11例完成乳房切除术时存在淋巴结的患者中，有2例淋巴结转移。在一名妇女中，这是在完成乳房切除术标本中发现的唯一一个淋巴结;在另一名妇女中，有三个淋巴结呈阳性。这些妇女都有一个积极的腋窝清除，其中一个12和六个节点阳性分别。因此，两例患者均未提前分期。
Results Fifty-four women met the inclusion criteria; 30 56 per cent) were node positive and 24 44 per cent) were node negative. Eleven women 20 per cent) had lymph nodes documented in the completion mastectomy pathology report. Of the 30 node-positive women, seven had nodes at completion mastectomy, compared with four of the 24 node-negative patients P= 0 55, c2 test).The mean number of nodes in the original axillary clearance was 12 5 for the whole study group, 12 0 for the 11 women who had nodes found at completion mastectomy and 12 6 for the 43 women with no nodes found in the completion mastectomy specimen P= 0 69, Student's t test). The mean number of nodes found in the 11 patients at completion mastectomy was 1 9 range 1±5). Of the 11 patients with nodes present at completion mastectomy, two had nodes involved by metastatic tumour. In one this was the only node found in the completion mastectomy specimen; in the other woman three of® ve nodes were positive. These women both had a positive axillary clearance, with one of 12 and® ve of six nodes positive respectively. Therefore neither patient was upstaged.