The role of axillary lymph node dissection in breast cancer management

被引：39
作者：
Noguchi M. [1 ,2 ]
Miwa K. [2 ]
Michigishi T. [3 ]
Yokoyama K. [3 ]
Nishijima H. [4 ]
Takanaka T. [4 ]
Kawashima H. [4 ]
Nakamura S. [5 ]
Kanno H. [5 ]
Nonomura A. [6 ]
机构：
[1] Department of Surgery (II), Operation Center, Kanazawa University Hospital, Kanazawa 920, Takara-machi
[2] Department of Surgery (II), Kanazawa University Hospital
[3] Department of Nuclear Medicine, Kanazawa University Hospital
[4] Department of Radiology, Kanazawa University Hospital
[5] Department of Internal Medicine (III), Kanazawa University Hospital
[6] Department of Pathology Section, Kanazawa University Hospital
来源：
Breast Cancer | 1997年 / 4卷 / 3期
关键词：
Axillary dissection; Axillary metastases; Breast cancer; Sentinel lymph node biopsy;
D O I：
10.1007/BF02967068
中图分类号：
学科分类号：
摘要：
Although it is generally accepted that axillary dissection provides no survival advantage in patients with breast cancer, it is commonly regarded as a reliable method of assessing nodal status and treating regional disease. However, it is time to consider eliminating routine axillary dissection in patients who are clinically nodenegative. A sentinel lymph node biopsy may assess axillary nodal status while obviating a full axillary dissection. At present, axillary dissection remains the standard approach for the surgical management of all patients with invasive carcinoma of the breast, regardless of tumor size or patient age, though it is unnecessary for patients with small intraductal carcinomas.
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页码：143 / 153
页数：10
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