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題名:Contralateral Axillary Sentinel Lymph Node Uptake for Local Recurrence of Breast Cancer after Breast Conservation Therapy    
乳房保留手術後局部復發患者之前哨淋巴結位於對側腋下
著者:Shuo-Hui Hung(洪碩徽) ;Su-Mei Chen(陳愫美) ;Sheng-Huang Hsiao(蕭勝煌)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:前哨淋巴結切片術 ; 淋巴閃爍攝影術 ; 乳房保留手術 ; 局部復發 ; sentinel lymph node biopsy ; lymphoscintigraphy ; breast conservation ; local recurrence
刊名:Journal of Cancer Research and Practice
頁碼:137-142
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

早期乳癌的病患可選擇保留乳房的手術治療方式,但在術後十年的追蹤期間10%的患者有局部復發的機會。前哨淋巴結切片術是否適合這些復發的病患仍有爭議。我們提出兩個乳房保留手術後乳癌局部復發的病例,淋巴閃爍攝影術發現其前哨淋巴結位於病灶對側的腋下。這些發現證實了淋巴閃爍攝影術對於這些患者再次手術時淋巴結診斷的重要性。此外當潛隱性乳癌的唯一症狀是腋下淋巴結轉移時,若患者曾接受對側乳房或腋下的手術,須高度懷疑病灶源於對側乳房的可能性。
Following breast conservation therapy for early breast cancer, about 10% of these patients will develop an ipsilateral breast tumor recurrence (IBTR) within 10 years after diagnosis. The benefits of sentinel lymph node (SLN) biopsy for these patients are still controversial. We present two patients with IBTR and contralateral axillary sentinel lymph nodes shown by preoperative lymphoscintigraphy. Patient 1 had breast conservation therapy and axillary lymph node dissection, and patient 2 had breast conservation therapy and SLN biopsy for primary cancer surgical intervention. These findings demonstrate the importance of lymphoscintigraphy in the preoperative evaluation of IBTR. Additionally, we should maintain a high index of suspicion that axillary metastatic lymph nodes could originate from a contralateral occult breast cancer by aberrant lymphatic drainage, especially after a contralateral breast or axillary surgical intervention.


    

本卷期目次
Journal of Cancer Research and Practice
以照顧癌末病人之醫學倫理,建構醫師靈性成長課程/ 方俊凱賴明亮呂欣芹林明慧李佩怡
病情告知訓練的初步效益/ 唐婉如陳冠宇徐聖輝方俊凱
Improvement of Bone Metastases of a Case with Female Breast Cancer by Combined Zoledronic Acid Treatment/ Yen-Min HuangTsung-Han WuCheng-Hsu WangJen-Seng Huang
Effective Palliative Care for Infective Malignant Wound Using Ionic Silver-containing Hydrofibers Dressing/ Yi-Su ChenChen-Hui LinYing-Chin LinYing-Yueh TuYuen-Liang LaiHsien-Ta Liu
Contralateral Axillary Sentinel Lymph Node Uptake for Local Recurrence of Breast Cancer after Breast Conservation Therapy/ Shuo-Hui HungSu-Mei ChenSheng-Huang Hsiao
意義中心團體心理治療的介紹與評述/ 石世明徐聖輝
 
   
 
   

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