Sentinel lymph nodes(SLNs)are the first station of lymph nodes that extend from the breast tumor to the axillary lymphatic drainage.The pathological status of these LNs can predict that of the entire axillary lymph no...Sentinel lymph nodes(SLNs)are the first station of lymph nodes that extend from the breast tumor to the axillary lymphatic drainage.The pathological status of these LNs can predict that of the entire axillary lymph node.Therefore,the accurate identification of SLNs is necessary for sentinel lymph node biopsy(SLNB)to replace axillary lymph node dissection(ALND).The quality of life and prognosis of breast cancer patients are related to proper surgical treatment after the precise identification of SLNs.Some of the SLN tracers that have been identified include radioisotope,nano-carbon,indocyanine green(ICG),and methylene blue(MB).However,these tracers have certain limitations,such as pigmentation,radiation dangers,and the requirement for costly detection equipment.Ultrasound contrast agents(UCAs)have good specificity and sensitivity,and thus can compensate for some shortcomings of the mentioned tracers.This technique is also being applied to SLNB in patients with breast cancer,and can even provide an initial judgment on SLN status.Contrast-enhanced ultrasound(CEUS)has the advantages of high distinguishability,simple operation,no radiation harm,low cost,and accurate localization;therefore,it is expected to replace the traditional biopsy methods.In addition,it can significantly enhance the accuracy of SLN localization and shorten the operation time.展开更多
目的了解我国乳腺外科医生对于美国外科医师学会肿瘤学组(American College of Surgeons Oncology Group,ACOSOG)Z0011试验的认知情况,分析Z0011试验结果对中国乳腺外科医生外科实践的影响程度。方法通过问卷调查的方式调查中国乳腺外...目的了解我国乳腺外科医生对于美国外科医师学会肿瘤学组(American College of Surgeons Oncology Group,ACOSOG)Z0011试验的认知情况,分析Z0011试验结果对中国乳腺外科医生外科实践的影响程度。方法通过问卷调查的方式调查中国乳腺外科医生对Z0011试验的了解情况以及在知道Z0011试验结果前后对于符合Z0011试验入组标准的乳腺癌患者腋窝处理方式的意见并分析相关因素。结果回馈调查问卷的427位医生中有116人(27.2%)对Z0011试验熟悉,不知道的有122人(28.5%)。在知晓Z0011试验结果的305位医生中,在知晓前后,对于符合Z0011试验入组标准的乳腺癌患者,不倾向于做腋窝淋巴结清扫术(axillary lymph node dissection,ALND)的医生分别为78人(25.6%)和115人(37.7%)。医生所属医院的级别、所在地区、受教育程度、从事专业的时间与医生对Z0011试验了解程度之间都存在显著性关系(P<0.05),而与医生在知道Z0011试验结果之后的外科策略选择之间没有相互性关系(P>0.05)。结论我国乳腺外科医生对Z0011试验的认知程度及接受程度仍较低。展开更多
目的探讨喉癌前哨淋巴结定位和活检技术的可行性及其对颈淋巴结转移癌的预测价值。方法采用1%专利兰(Patent blue V aye),对31例颈淋巴结 N_0的喉癌患者进行术中前哨淋巴结定位研究,且对术中前哨淋巴结及颈清扫术切除淋巴结进行常规病...目的探讨喉癌前哨淋巴结定位和活检技术的可行性及其对颈淋巴结转移癌的预测价值。方法采用1%专利兰(Patent blue V aye),对31例颈淋巴结 N_0的喉癌患者进行术中前哨淋巴结定位研究,且对术中前哨淋巴结及颈清扫术切除淋巴结进行常规病理检查和对比,观察前哨淋巴结对颈淋巴结转移癌的预测值。结果 31例中21例找到前哨淋巴结,成功率67.7%,前哨淋巴结对颈淋巴结转移癌的预测值为95.2%。结论喉癌前哨淋巴结的定位和活检技术切实可行,且前哨淋巴结检测能够准确预测颈淋巴结转移癌的状况。展开更多
基金supported by the Zhejiang Provincial Natural Science Foundation of China (No.LBY21H160001).
文摘Sentinel lymph nodes(SLNs)are the first station of lymph nodes that extend from the breast tumor to the axillary lymphatic drainage.The pathological status of these LNs can predict that of the entire axillary lymph node.Therefore,the accurate identification of SLNs is necessary for sentinel lymph node biopsy(SLNB)to replace axillary lymph node dissection(ALND).The quality of life and prognosis of breast cancer patients are related to proper surgical treatment after the precise identification of SLNs.Some of the SLN tracers that have been identified include radioisotope,nano-carbon,indocyanine green(ICG),and methylene blue(MB).However,these tracers have certain limitations,such as pigmentation,radiation dangers,and the requirement for costly detection equipment.Ultrasound contrast agents(UCAs)have good specificity and sensitivity,and thus can compensate for some shortcomings of the mentioned tracers.This technique is also being applied to SLNB in patients with breast cancer,and can even provide an initial judgment on SLN status.Contrast-enhanced ultrasound(CEUS)has the advantages of high distinguishability,simple operation,no radiation harm,low cost,and accurate localization;therefore,it is expected to replace the traditional biopsy methods.In addition,it can significantly enhance the accuracy of SLN localization and shorten the operation time.
文摘目的了解我国乳腺外科医生对于美国外科医师学会肿瘤学组(American College of Surgeons Oncology Group,ACOSOG)Z0011试验的认知情况,分析Z0011试验结果对中国乳腺外科医生外科实践的影响程度。方法通过问卷调查的方式调查中国乳腺外科医生对Z0011试验的了解情况以及在知道Z0011试验结果前后对于符合Z0011试验入组标准的乳腺癌患者腋窝处理方式的意见并分析相关因素。结果回馈调查问卷的427位医生中有116人(27.2%)对Z0011试验熟悉,不知道的有122人(28.5%)。在知晓Z0011试验结果的305位医生中,在知晓前后,对于符合Z0011试验入组标准的乳腺癌患者,不倾向于做腋窝淋巴结清扫术(axillary lymph node dissection,ALND)的医生分别为78人(25.6%)和115人(37.7%)。医生所属医院的级别、所在地区、受教育程度、从事专业的时间与医生对Z0011试验了解程度之间都存在显著性关系(P<0.05),而与医生在知道Z0011试验结果之后的外科策略选择之间没有相互性关系(P>0.05)。结论我国乳腺外科医生对Z0011试验的认知程度及接受程度仍较低。
文摘目的探讨喉癌前哨淋巴结定位和活检技术的可行性及其对颈淋巴结转移癌的预测价值。方法采用1%专利兰(Patent blue V aye),对31例颈淋巴结 N_0的喉癌患者进行术中前哨淋巴结定位研究,且对术中前哨淋巴结及颈清扫术切除淋巴结进行常规病理检查和对比,观察前哨淋巴结对颈淋巴结转移癌的预测值。结果 31例中21例找到前哨淋巴结,成功率67.7%,前哨淋巴结对颈淋巴结转移癌的预测值为95.2%。结论喉癌前哨淋巴结的定位和活检技术切实可行,且前哨淋巴结检测能够准确预测颈淋巴结转移癌的状况。
