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在节点阳性乳腺癌中III级下淋巴结的参与:单一机构研究

Giridhar Chidananda Murthy¹, Preethitha Babu¹

¹Homi Bhabha Cancer Hospital and Research Centre, Aganampudi Village, Gajuwaka Mandal, Visakhapatnam, Andhra Pradesh 530053 India.

Indian journal of surgical oncology

|November 24, 2025

概括

乳腺癌中的III级状淋巴结解剖对于具有I/II级节点阳性的患者至关重要. 这一程序有助于识别转移并改善患者的治疗结果.

科学领域:

在瘤学瘤学.
手术病理学手术病理学
乳腺癌研究研究乳腺癌研究

背景情况:

轴心淋巴结解剖对于乳腺癌预后和区域控制至关重要.
第三级淋巴结解剖的临床意义仍然不太清楚.
识别III级节点参与的预测因素对于定制的外科手术策略至关重要.

研究的目的:

为了确定乳腺癌患者的III级淋巴结阳性率.
确定预测III级节点转移的临床和病理因素.
根据I/II级节点状态来评估III级解剖的必要性.

主要方法:

对190名接受手术的乳腺癌患者 (cT1-3,N0-1,M0) 的回顾性分析.
从2017年5月到2020年12月在第三级护理中心收集的数据.
从电子医疗记录中包含临床和病理细节.

主要成果:

在具有阳性I/II级节点的患者中,23.15%观察到III级节点阳性.
跳转转移 (III级阳性,I/II级阴性) 在0.52%的病例中发生.
在III级转移和阳性I/II级节点,淋巴血管入侵,瘤大小和瘤外延伸之间发现了显著的相关性.

结论:

建议对所有乳腺癌患者进行III级下淋巴结解剖,这些患者的I/II级下淋巴结呈阳性.
这些发现支持在特定患者群体的手术规划中常规纳入III级解剖.
这种方法提高了预后准确性和乳腺癌管理的区域控制.

关键词:

轴心解剖是指指轴心的解剖.乳腺癌是什么? 乳腺癌是什么第三级:三级是三级的.淋巴结的淋巴结的淋巴结的

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