Application value of sentinel lymph node biopsy in clinical examination of primary breast cancer with positive axillary node
FENG Yu
ZHAO Xia
LYU Shuzhen
MU Ying
WANG Dandan
LI Yanping
Abstract:Objective To investigate the application value of sentinel lymph node biopsy ( SLNB) in clinical exami-nation of primary breast cancer with positive axillary node .Methods The clinical data of 255 patients with primary breast cancer whose axillary nodes were positive were retrospectively analyzed .The reliability of using clinical physical examina-tion, ultrasound imaging , and ultrasonic imaging abnormalities of lymph node biopsy pathology inspection for judging the axillary lymph node was compared .Results A total of 199 (78.0%) of 255 patients were confirmed the presence of axil-lary lymph node metastases.Totally 245 (96.1%) patients had abnormal lymph nodes .86.4%(172/199) patients were confirmed metastases by fine-needle aspiration cytology ( FNAC ) .During 125 patients with palpable lymph nodes , 18 (14.8%) patients had negative results in both FNA and SLNB .Conclusion For patients who have primary breast cancer with positive axillary in clinical examination , especially who are not confirmed metastases by FNAC , should receive SLNB to avoid unnecessary axillary lymph node clearance .
Keywords:breast carcinomasentinel lymph nodesultrasonographic examinationfine-needle aspiration cytology
Publication Date:2016-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 68-70 )
