Clinical application of ～(99m)Tc-SC lymphoscintigraphy in sentinel lymph node location in breast cancer

PANG Hua; et al

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Clinical application of ～(99m)Tc-SC lymphoscintigraphy in sentinel lymph node location in breast cancer

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- Clinical application of ～(99m)Tc-SC lymphoscintigraphy in sentinel lymph node location in breast cancer
- Journal of Chongqing Medical University Vol. 34, Issue 2, Pages: 200-202(2009)
- 作者机构：
  
  重庆医科大学附属第一医院核医学科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R737.9
- Published：2009，
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[1]庞华,雷成明,吕志祥,李建国.~(99m)Tc-SC淋巴显像在乳腺癌前哨淋巴结定位中的临床价值[J].重庆医科大学学报,2009,34(02):200-202.

PANG Hua, et al. Clinical application of ～(99m)Tc-SC lymphoscintigraphy in sentinel lymph node location in breast cancer. [J]. Journal of Chongqing Medical University 34(2):200-202(2009)
[1]庞华,雷成明,吕志祥,李建国.~(99m)Tc-SC淋巴显像在乳腺癌前哨淋巴结定位中的临床价值[J].重庆医科大学学报,2009,34(02):200-202. DOI：

PANG Hua, et al. Clinical application of ～(99m)Tc-SC lymphoscintigraphy in sentinel lymph node location in breast cancer. [J]. Journal of Chongqing Medical University 34(2):200-202(2009) DOI：

摘要

目的:回顾性评价99mTc-硫胶体（99mTc-SC）淋巴显像对乳腺癌前哨淋巴结（Sentinel lymph node

SLN）的定位准确性

为乳腺癌SLN活检技术提供准确的定位依据。方法:对50例乳腺癌患者行99mTc-SC前哨淋巴结显像

并进行体表定位;术中行γ探测仪探测定位SLN

并与显像体表定位结果作比较。患者均行腋窝淋巴结清扫

统计其检出率、准确率、假阴性率、假阳性率。结果:50例病人共有45例前哨淋巴结清晰显影

检出率为90.00%（45/50）。共显示SLN72个

平均1.60枚;淋巴显像检出的SLN与γ探针检测符合率为91.11（41/45枚）;用淋巴显像检出的前哨淋巴结预测腋窝淋巴结转移的准确率为93.33%

特异度为100%

假阴性率为6.67%

假阳性率为0%。结论:99mTc-SC前哨淋巴结显像体表定位能较准确预测腋窝淋巴结转移情况

可用于指导乳腺癌SLNγ探测定位及活检手术。

Abstract

Objective:Retrospectively evaluate the clinical value of 99mTc-Sc lymphoscintigraphy in sentinel lymph node(SLN)location in breast cancer

and to offer accurate orientation for sentinel lymph node biopsy(SLNB).Methods:Fifty breast cancer patients underwent 99mTc-SC lymphoscintigraphy

the outcomes were compared withγdetection probe.Results:SLN was found in 45 of 50 cases(90.00%)

the number of SLN was 1.60 in every case averagely.41 patients were found in concordance withγdetection probe

4 cases were not detected byγprobe.The accuracy

specificity

false negative rate and false positive rate of SLN to predict axillary lymph node status were 93.33%

100%

6.67%

0%.Conclusion:99mTc-SC lymphoscintigraphy can exactly predict axillary lymph node status and guideγdetection probe and SLNB.

关键词

前哨淋巴结淋巴显像乳腺癌

Keywords

sentinel lymph nodeLymphoscintigraphybreast cancer

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