乳腺癌前哨淋巴结探查的研究进展
Sentinel lymph node detection in breast cancer
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摘要: 乳腺癌前哨淋巴结(sentinel lymph node, SLN)是乳腺癌淋巴转移通道中最先经历的第一级淋巴结。通过乳腺癌SLN预测乳腺癌区域淋巴结转移状况,为乳腺癌的准确分期和外科手术提供了重要的依据。根据示踪剂的不同,有两种方法可以探查乳腺癌SLN,其中使用放射性核素标记物作为示踪剂探查乳腺癌SLN是目前较具优势的方法,且不同于传统的淋巴显像;乳腺癌SLN探查的成功率受到诸多因素的影响,其探查技术亦需进一步的研究来提高。Abstract: The concept of sentinel lymph node (SLN)holds that the lymphatic effluent of a tumor drains initially to one or two lymph nodes before other nodes receive the tumoral drainage.It is a great advance in breast cancer surgery to one or two lymph nodes before other nodes receive the tumoral drainage.It is a great advance in breast cancer surgery to predict regional nodal metastases by sentinel lymph node detection in breast cancer,which can give the more refinedstaging of breast cancer.According to the different tracers,there are two ways to detect SLN.Using a radiopharmaceutical to identify SLN in breast cancer is superior,and differs from traditional lymphoscintigraphy.Some factors could affect SLN detection in breast cancer,and many efforts should be taken to improve SLN detection techniques.