Linfonodo sentinela intramamário comprometido e axila livre: esvaziamento axilar ou conduta conservadora?

IF 1 Q4 OBSTETRICS & GYNECOLOGY

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2012-10-01 DOI:10.1590/S0100-72032012005000001

René Aloisio da Costa Vieira, Dionísio Nepomuceno Viviani, Suellen Strada Ferreira, A. Bailão, L. M. Kerr, Ângelo Gustavo Zucca Matthes, S. Moriguchi

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Abstract

The sentinel lymph node biopsy is a standard treatment for patients with breast cancer and clinically negative axilla lymph node. The presence of an extra-axillary and intra-axillary (IM) sentinel lymph node (SLN) occurs in up to 2.6% of cases. In the presence of a metastatic IM SLN, axillary positivity may occur in up to 81% of cases. Due to the limited number of cases reported, there is no standard treatment for the association of metastatic SLN IM and non-metastatic axillary SLN . We add here two cases to the literature, one of them with metastatic disease in the axilla. The use of a nomogram demonstrated that the risk of axillary metastasis was less than 10% and the addition of these cases to the literature showed that in this situation the rate of axillary metastasis is 6.25%. We discuss the pros and cons of further axillary dissection in this situation.

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前哨淋巴结受累和腋窝自由:腋窝排空还是保守治疗?

前哨淋巴结活检是乳腺癌和临床阴性腋窝淋巴结患者的标准治疗方法。腋窝外和腋窝内(IM)前哨淋巴结(SLN)的存在发生率高达2.6%。在存在转移性IM SLN的情况下，腋窝阳性可能发生在高达81%的病例中。由于报道的病例数量有限，对于转移性SLN IM和非转移性腋窝SLN的关联，没有标准的治疗方法。我们在这里添加两个病例到文献中，其中一个在腋窝有转移性疾病。使用线图显示腋窝转移的风险小于10%，将这些病例添加到文献中显示在这种情况下腋窝转移的发生率为6.25%。我们讨论在这种情况下进一步腋窝解剖的利弊。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira de Ginecologia e Obstetricia OBSTETRICS & GYNECOLOGY-

CiteScore

1.90

自引率

8.30%

发文量

142

审稿时长

12 weeks

期刊介绍： The Brazilian Journal of Gynecology and Obstetrics (Revista Brasileira de Ginecologia e Obstetrícia, ISSN 1806-9339) is a monthly publication of scientific divulgation of the Federação das Sociedades de Ginecologia e Obstetrícia (FEBRASGO). It is directed to obstetricians, gynecologists and professionals of related areas, with the purpose of publishing research results on relevant topics in the field of Gynecology, Obstetrics and related areas. It is open to national and international contributions and the journal receives submissions only in English.