检索结果-南通市图书馆

Efficacy and prognosis of mastoscopic axillary lymph node dissection for breast cancer:a systematic evaluation and meta-analysis

引用

TMR Cancer 2021年第4期4卷 18-27页

作者： Hong-Yi Lan Yi-Hua Fan Yang Chen Wan-Ting Cui Wen-Han Li Hao-Fang Guan Xin-Ju Li Tianjin University of Traditional Chinese Medicine Tianjin301617China First Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin300193China National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion Tianjin300381China Tianjin University of Traditional Chinese Medicine No.10 PoYang Lake RoadWest DistrictTuanbo New TownJing-Hai DistrictTianjin301617China

Objective:To systematically evaluate the efficacy and prognosis of breast lumpectomy axillary lymphatic dissection for the treatment of breast ***:We use computer to search PubMed,The Cochrane Library,EMBASE,Web of Science,China Knowledge Network,Wanfang database,VIP database and CBM for randomized controlled trials(RCTs)of breast lumpectomy in axillary lymphatic dissection for breast *** search time frame was from the database establishment to July ***-analysis was performed using Revman 5.4.1 software after 2 investigators independently screened the literature,extracted information,and evaluated the risk of bias of the included ***:A total of 20 RCTs including 2672 patients were *** axillary lymph node dissection(MALND)was used in the trial group and conventional axillary lymph node dissection(CALND)was used in the control *** results showed that the trial group was more effective in controlling bleeding volume[MD=-54.72,95%CI(-79.73,-29.71),P<0.00001],postoperative drainage[MD=-98.99,95%CI(-128.83,-69.15),P<0.00001],length of hospital stay[MD=-2.75,95%CI(-4.67,-0.83),P=0.005],and incidence rate of adverse reaction[RR=0.30,95%CI(0.19,0.45),P<0.00001]were superior to the control group,and the differences were statistically ***:Current evidence suggests that MALND can achieve better outcomes compared with *** is more advantageous in controlling the bleeding volume,postoperative drainage,length of hospital stays,and incidence rate of adverse events.

关键词： axillary lymph node dissection Breast lumpec-tomy Breast cancer Randomized controlled trial Meta-analysis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Clinicopathological features,psychological status,and prognosis of 33 patients with occult breast cancer

引用

World Journal of Psychiatry 2024年第1期14卷 76-87页

作者： Hong-Mei Wang Ao-Yang Yu Lin-Lin Li Lu-Yao Ma Meng-Han Cao Yu-Le Yang Xiao-Bing Qin Juan-JuanTang Zheng-Xiang Han Department of Oncology The Affiliated Hospital of Xuzhou Medical UniversityXuzhou 221000Jiangsu ProvinceChina Graduate School Xuzhou Medical UniversityXuzhou 221004Jiangsu ProvinceChina Department of Pathology The Affiliated Hospital of Xuzhou Medical UniversityXuzhou 221000Jiangsu ProvinceChina

BACKGROUND Occult breast cancer(OBC)has traditionally been considered to be a carcinoma of unknown primary origin with a favorable prognosis and can be treated as stage II-III breast *** to the small number of cases and limited clinical experience,treatments vary greatly around the world and no standardized treatment has yet been *** To investigate the clinicopathological features,psychological status and prognostic features of patients with *** The clinicopathological data of 33 OBC patients diagnosed and treated in the Affiliated Hospital of Xuzhou Medical University and Xuzhou Central Hospital from November 2015 to November 2022 were retrospectively *** psychological status of OBC patients was evaluated by the Self-rating Anxiety Scale and Self-rating Depression ***’emotions,stress perception and psychological resilience were evaluated by the Positive and Negative Affect Schedule,the Chinese Perceived Stress Scale,and the Connor-Davidson Resilience Scale(CD-RISC),*** survival was calculated using the Kaplan-Meier method,and survival curves were plotted for analysis with the log-rank *** and multivariate survival analyses were performed using the Cox regression *** The 33 OBC patients included 32 females and 1 *** the 33 patients,30(91%)had axillary tumors,3(9%)had a neck mass as the primary symptom;18(54.5%)had estrogen receptor-positive tumors,17(51.5%)had progesterone receptor-positive tumors,and 18(54.5%)had Her-2-positive tumors;24(72.7%)received surgical treatment,including 18 patients who underwent modified radical mastectomy,1 patient who underwent breast-conserving surgery plus axillary lymph node dissection(ALND),and 5 patients who underwent ALND alone;12 patients received preoperative neoadjuvant *** 30 patients developed anxiety and depression,with low positive affect scores and high negative affect scores,accompanied by a high stress level and poor psycho

关键词： Occult breast cancer Breast cancer Perceived Stress Scale axillary lymph node dissection

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Analysis of factors related to non-sentinel lymph node metastasis in 296 sentinel lymph node-positive Chinese breast cancer patients

引用

Cancer Biology & Medicine 2018年第3期15卷 282-289页

作者： Amina Maimaitiaili Di Wu Zhenyu Liu Haimeng Liu Xiamusiye Muyiduli Zhimin Fan Department of Breast Surgery The First Hospital of Jilin University Department of Epidemiology & Health Statistics School of Public Health School of Medicine Zhejiang University

Objective: axillary lymph node dissection(ALND) may be unnecessary in 20%–60% of breast cancer patients with sentinel lymph node(NSLN) metastasis. The aim of the present study was to review the medical records of Chinese patients with early-stage breast cancer and positive NSLN metastasis to identify clinicopathological characteristics as risk factors for non-NSLN ***: The medical records of 2008 early-stage breast cancer patients who received intraoperative sentinel lymph node biopsy(SLNB) between 2006 and 2016 were retrospectively reviewed. These patients were clinically and radiologically lymph nodenegative and had no prior history of receiving neoadjuvant chemotherapy or endocrinotherapy. The clinicopathological characteristics of patients with positive NSLN metastasis who underwent ALND were ***: In the present study, 296 patients with positive NSLN metastases underwent ALND. Positive non-NSLN metastases were confirmed in 95 patients(32.1%). On univariate analysis, ≥ 3 positive NSLN metastases(P lymphovascular invasion(P = 0.04) were associated with non-NSLN metastasis(P lymphovascular invasion were correlated with nonSLN metastasis. The number of positive SLNs was an independent predictor for non-NSLN metastasis. When 2 or 3 risk factors were present in one patient, the probability of non-NSLN was higher than that in the American College of Surgeons Oncology Group Z0011 trial(27.3%); thus, avoiding ALND should be considered carefully.

关键词： Breast cancer sentinel lymph node metastasis axillary lymph node dissection non-sentinel lymph node metastasis

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The Risk Factors of lymphedema in Breast Cancer Patients Post axillary Clearance

引用

Surgical Science 2023年第10期14卷 658-666页

作者： Fatamah Kahtani Abdulaziz Alamoudi Amal Alosaimi Ayman Kurdi Ziyad Saifaddin Zaher Mikwar Galia Jadkarim General Surgery Department King Abdulaziz Medical City Jeddah Saudi Arabia Orthopedic Department King Fahad University Hospital Al-Khobar Saudi Arabia Obstetrics and Gynecology Department King Abdulaziz Medical City Jeddah Saudi Arabia Urology Department King Faisal Hospital Taif Saudi Arabia Forensic Medicine Department Forensic Medicine Center Jeddah Saudi Arabia Surgical Oncology and General Surgery Department King Abdulaziz Medical City Jeddah Saudi Arabia Surgical Breast Oncoplasty and General Surgery Department King Abdulaziz Medical City Jeddah Saudi Arabia

Introduction: Breast cancer is the number one malignancy affecting females in Saudi Arabia with a prevalence of 22.4%. Breast cancer incidence increases annually due to the aid of established screening programs, leading to the discovery of breast cancer in its early stages. Surgical treatment is an integral part of early breast cancer management to achieve local control. axillary surgical interventions such sentinel lymph node biopsy (SLNB) and axillary lymph node clearance (ALND) aim to stage the axilla as an adjunct to the management of the primary breast tumor. In this paper, we reviewed female breast cancer patients aged 30 - 60 who underwent surgical treatment of SLNB and/or ALND with reporting the prevalence of lymphedema and other associated complications and risk factors. Methodology: A cross-sectional non-interventional study, with a sample size of 250 including breast cancer cases from 2016 to 2019 at National Guard Hospital (NGH) in Jeddah, Saudi Arabia. Results: A total of 253 breast cancer cases were included in this study, with a mean age of 53 years, 52.7% were postmenopausal and positive family history was present among 21% of cases. Further, 90.9% of the cases had unilateral disease. Staging was as follows: stage I 14.5%, stage II 45.2%, stage III 37.1%, and stage IV 3.2%. Mastectomy was done in 73.4% cases and lumpectomy was performed in 34.1% of cases. In addition, 93.3% of patients had SLNB and 49% of them were positive. axillary dissection was performed in 69.6% of our patients. Radiotherapy and chemotherapy were given to 71.8% and 80.4% of cases respectively. Among the chemotherapy (chemo) recipients, 40.2% received adjuvant chemo, 54.5% received neoadjuvant chemo, and the remaining 5.3% received both. Further, the most prevalent complication was pain accounting for 42.1% of total complications, and the least prevalent was cellulitis 4%. Also, seroma developed in 18.3% cases, paresthesia noted in 5.6% of cases, winged scapula was reported as 2%

关键词： lymphedema Breast Cancer axillary lymph node Clearance axillary lymph node dissection Sentinel lymph node Biopsy Mastectomy Lumpectomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Diagnosis and Treatment of axillary Web Syndrome:An Overview

引用

Chinese Journal of Plastic and Reconstructive Surgery 2020年第2期2卷 128-136页

作者： Elan YANG Xiongwei LI Xiao LONG Department of Plastic Surgery Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China

axillary web syndrome(AWS)is a self-limiting disease that can occur as an early or possibly late postoperative complication post-axillary *** syndrome is characterized by the spread of the cords of subcutaneous tissue extending from the axilla into the arm and is clinically associated with pain and limited movement of the shoulder in the affected *** its pathophysiology is not well established,the most common cause is surgery-related axillary lymphatic *** the echography and magnetic resonance imaging results support the lymphatic *** diagnosis of AWS is based on physical *** factors may include extensiveness of surgery,younger age,hypertension,lower body mass index,ethnicity,and healing *** clinical intervention shortens the natural course of AWS and improves the quality of life of patients with *** may include physical therapy,drug therapy,manual drainage,instrument-assisted soft tissue mobilization(IASTM),thoracic manipulation and stretching,manual axial distraction,percutaneous needle cord disruption with fat grafting and Xiaflex injection,and surgical *** surgical treatment for AWS may not be *** research is needed to provide more comprehensive improvements in the diagnosis and treatment of AWS.

关键词： axillary web syndrome Breast cancer axillary lymph node dissection Sentinel lymph node biopsy

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Trans(lymphatic contrast-enhanced ultrasound combined with injection of blue dye marker for detection and biopsy of sentinel lymph nodesof breast cancer

Trans(lymphatic contrast-enhanced ultrasound combined with i...

引用

中国超声医学工程学会第五届全国介入超声医学学术交流大会

作者： Xiangmei Chen Jieyu Zhong Zhengming Hu Wei Wei Weihua Yin Ligang Cui Jibin Liu Desheng Sun

Background:The best method for sentinel lymph node biopsy(SLNB) in early(staged breast cancer(EBC) remains *** aim of this study was to evaluate a novel method by combining trans(lymphatic CEUS with blue dye injection as a marker for detection of SLNs and guidance of SLNB to improve identification rate of positive SLNs Methods:TLCEUS was performed in 88 patients with newlydiagnosed *** blue dye was percutaneously injected into enhanced SLNs under ultrasound guidance,followed by standard SLNB and axillary lymph node dissection(ALND).Enhancement patterns and the arriving time(AT) of contrast agent within SLNs were *** examination of dissected nodeswas carried out to confirm metastatic ***:95 enhanced SLNs were identified and biopsied in 86 of 88 patients with identification rate of 97.7%.The SLNB procedure was successful by using TLCEUS/blue dye *** a high diagnostic value,with a specificity of 75.0%,a sensitivity of 83.3%,and a false(negative rate of16.7%.contrast-enhanced SLNs with type Ⅰ,type Ⅱ,and type Ⅲ patterns had a metastatic positive rate of 11.4%(5/44),57.1%(12/21) and 80.0%(24/30),*** positive SLNs group showed a mean AT of 61.6±58.7 sec while metastatic negative SLNs group showed a mean AT of 41.3±19.9 sec,which was statistically significant different with a p value of ***:The TLCEUS/blue dye method is useful for detecting SLNs,and can be used as an alternative to the radioisotope/blue dye method for its feasibility and accuracy.

关键词： Sentinel lymph node biopsy Early(staged breast cancer contrast-enhanced ultrasound Methylene blue dye axillary lymph node dissection

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：