乳腺癌前哨淋巴结活检及其微转移检测的临床意义

【目的】探讨美蓝法示踪和定位行乳腺癌前哨淋巴结活检(SLNB)的可行性及其临床意义,并探索常规病理检查(HE染色)、免疫组化染色(IHC染色)及逆转录聚合酶链反应(RT-PCR)技术对判断前哨淋巴结(SLN)微转移灶的价值。【方法】66例乳腺癌患者,用美蓝示踪行SLNB,对SLN及腋窝淋巴结(ALN)进行HE染色;随机选取40例SLN进一步行细胞角蛋白19(CK19)的IHC染色及RT-PCR检测;比较3种方法对SLN微转移灶检出的敏感性、准确率及假阴性率的差异。【结果】66例中,美蓝示踪成功检出63例,检出率达95.5%。IHC与RT-PCR比较无差异,而与HE比较差异有显著性。【结论】美蓝...

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Bibliographic Details
Main Authors: 庄亚强, 莫军扬, 任占平, 梁志东
Format: Article
Language:zho
Published: Editorial Office of Journal of Sun Yat-sen University 2007-01-01
Series:Zhongshan Daxue xuebao. Yixue kexue ban
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Online Access:http://xuebaoyx.sysu.edu.cn/zh/article/43582401/
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