解剖学与生理学:乳腺淋巴排水到内部胸部 (内部乳腺) 淋巴系统是否具有临床相关性?
Priscilla Machado1, Ji-Bin Liu2, Laurence Needleman2
1Department of Radiology, Thomas Jefferson University, Philadelphia, USA. priscilla.machado@jefferson.edu.
Journal of breast cancer
|June 5, 2023
概括
这项研究使用淋巴声学检测乳腺癌患者的哨兵淋巴结 (SLN). 与预期相反,SLN主要在关系统中发现,而不是内部胸部系统.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 手术病理学手术病理学
背景情况:
- 内部胸腔 (内部乳腺) 淋巴系统接收15%-25%的乳腺淋巴排水.
- 预计乳房内象限瘤会流向内部胸部淋巴结.
研究的目的:
- 调查淋巴声学在识别护卫淋巴结 (SLNs) 的实用性,在关和内胸淋巴系统.
- 确定乳腺癌SLNs的主要淋巴排水通路.
主要方法:
- 79名乳腺癌患者在瘤周围接受了皮下超声波对比剂注射.
- 淋巴声学被用来可视化和识别和内胸淋巴通路中的SLN.
主要成果:
- 淋巴声学在79名患者中总共发现了217个SLN (平均2.7个SLN/患者).
- 所有确定的SLN都位于状淋巴系统内.
- 在内部胸腔淋巴系统中没有检测到SLN,尽管内象限瘤位于17.7%的患者中.
结论:
- 乳腺癌中哨戒淋巴结检测主要发生在状淋巴系统中.
- 内部胸腔淋巴系统似乎是乳腺癌中SLN转移的不太常见途径.
- 淋巴声学是有效的识别下SLNs,但可能不能可靠地检测内部胸部SLNs.
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