Kodama法淋巴结清扫在乳腺癌Auchincloss术中的应用

摘要

目的：：探讨Kodama法在乳腺癌Auchincloss术中清扫LEVELⅢ淋巴结的可行性及意义。方法：对68例女性初治可手术乳腺癌患者，在Auchincloss术基础上，加行Kodama法清扫LEVELⅢ淋巴结，并单独标记送病检，对该组淋巴结转移率及临床相关因素进行统计学分析。结果：LEVELⅢ淋巴结转移率为30.88％。与LEVELⅢ淋巴结转移阳性率差异均无统计学意义的因素有患者的年龄、病理类型和肿瘤数目(P>0.05)；与LEVELⅢ淋巴结转移阳性率差异均有统计学意义的因素有肿瘤的大小、患侧腋窝淋巴结状态、TNM分期和分子分型(P0. 05). There were significant correlations between LEVEL Ⅲ axillary lymph node metastasis and tumor size,TNM stage and molecular type(P<0. 05). Conclusions:Auchincloss operation combined with cleaning LEVELⅢlymph nodes using Kodama method in treating breast carcinoma patients is necessary,feasible and safe.