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Pratiğimizde Son Bir Yılda Erken Evre Meme Kanserinde Uygulanan Sentinel Lenf Nodu Biyopsi Sonuçlarımız
2018
Journal:  
Gazi Medical Journal
Author:  
Abstract:

Giriş: Erken evre meme kanserinde aksiller lenf nodu değerlendirilmesinde rutin aksiller disseksiyon yerini sentinel lenf nodu disseksiyonuna bırakmıştır. Sentinel lenf nodu biyopsisi ile aksiller bölgenin yüksek doğruluk oranı ile değerlendirilmesi sağlanırken aksiller disseksiyonuna bağlı komplikasyonlar gelişmemektedir. Biz de çalışmamızda erken evre meme kanserinde sentinel lenf nodu biyopsisi uygulamalarımızı inceledik. Gereç ve Yöntemler: Süleyman Demirel Üniversitesi Tıp Fakültesi Hastanesinde 2014 yılında tanı konulan erken evre meme kanserli 22 hastaya sentinel lenf nodu biyopsisi uygulandı. Bu hastaların dosyaları retrospektif olarak incelendi. Bulgular: Sentinel lenf nodu biyopsisi uygulanan 22 hastanın %81,4’üne meme koruyucu cerrahi uygulanırken %18,2’sine basit mastektomi uygulandığı görüldü. Sentinel lenf nodu biyopsisi ile medyan 1,9 adet lenf nodu (min:1-max:3) eksize edildi. Frozen inceleme sonucunda lenf nodlarının %81,8 benign, %18,2 malign raporlandı. Aksiller lenf nodu malign hastaların tamamında tümör üst dış kadran yerleşim göstermekte, %75’inde lenfovasküler invazyon mevcuttu. Bu hastalara tamamlayıcı aksiller disseksiyon uygulandı. Bir hastada sentinel lenf nodu hariç metastatik lenf nodu saptanmadı. Sonuç: Çalışmamızda kliniğimizde tespit edilen aksilla klinik olarak negatif olan tüm erken evre meme kanserinde sentinel lenf nodu biyopsisi uygulandı.

Keywords:

In our practice in the past year, our Sentinel Lymph nodus biopsy results applied in early stage breast cancer
2018
Author:  
Abstract:

Introduction: In early stages of breast cancer, in the evaluation of the lymphatic nodus, the routine lymphatic nodus has left the place of dissection to the sentinel lymphatic nodus dissection. With the biopsy of the Sentinel lymphatic nodes, the accidents are assessed with a high accuracy rate of the area, while complications associated with the dissection of accidents are not developed. We also studied our applications for the biopsy of the sentinel lymphatic nodes in early stage breast cancer in our study. Tools and Methods: Early stage breast cancer diagnosed in 2014 at the Suleyman Demirel University Medical School Hospital, 22 patients were subjected to a sentinal lymph nodus biopsy. Patients were examined retrospectively. The findings: 81.4 percent of the 22 patients who were submitted to the Sentinel lymph nodus biopsy were submitted to breast protection surgery, while 18.2 percent were submitted to simple mastectomy. With the biopsy of the Sentinel lymphatic nodes, the median 1.9 lymphatic nodes (min:1-max:3) were exhausted. The frozen study found that 81.8% of the lymphatic nodes were benign and 18.2% malign. In all of the malignant lymph nodes, the tumor is placed in the upper external square, with 75% of lymphovascular invasions present. These patients have been supplementary dissections. Metastatic lymphatic nodes were not detected in a patient except the sentinel lymphatic nodes. The result: in our study, a clinically negative acilla found in our clinic, all early stages of breast cancer were subjected to a synthetic lymphatic nodus biopsy.

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Gazi Medical Journal

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Gazi Medical Journal