Lymph node dissection under the intercostobrachial nerve level in early breast cancer
10.3760/cma.j.issn.1674-6090.2016.02.004
- VernacularTitle:早期乳腺癌肋间臂神经水平淋巴结清扫的应用分析
- Author:
Yang ZHANG
;
Jianyi LI
;
Wenhai ZHANG
;
Xi GU
;
Shi JIA
;
Jinqi XUE
- Publication Type:Journal Article
- Keywords:
Breast cancer;
Axilla;
Intercostobrachial nerve;
Sentinel lymph node
- From:
Chinese Journal of Endocrine Surgery
2016;10(2):118-123
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the extent of axillary lymph node dissection which can not only ef-fectively evaluate the axillary status but also reduce the complications to the minimum in early stage breast can-cer. Methods 331 patients with early breast cancer surgically treated from Jan. 2011 to Dec. 2013 were retro-spectively analyzed. Their preoperative axillary state was evaluated. They undertook sentinel lymph node biopsy (SLNB) by pure methylene blue dye method and frozen section examination during surgery. According to the ex-tent of axillary lymph nodes dissection, patients were divided into SLNB group (98 cases) and intercostobrachial nerve level lymph node dissection (ILND) group (233 cases). The pros and cons of the operation were compared. Results The sentinel lymph nodes (SLN) labeled by methylene blue were located under the intercostobrachial nerve level. The average number of SLN and intercostobrachial nerve level lymph nodes were 5.64+1.68 and 13.34+3.61 respectively. The detection rate and the false negative rate of SLNB was 97.42% and 2.58% respec-tively. The medium follow-up was 27.5 months. There was no significant difference in postoperative complications including upper limb paresthesia, swelling or limitation of shoulder activity between the two groups. Conclusion ILND is an effective and suitable surgical method in early breast cancer patients with failed intraoperative SLN labeling or with one SLN metastasis.
