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題名 | 放射性同位素乳癌前衛性淋巴結造影--臺中榮民總醫院的經驗=Radionuclide Sentinel Node Imaging in Breast Cancer--Experience in Taichung Veterans General Hospital |
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作者姓名(中文) | 王世楨; 劉自嘉; 蔡世傳; | 書刊名 | 核子醫學雜誌 |
卷期 | 12:4 1999.12[民88.12] |
頁次 | 頁171-174 |
分類號 | 416.226 |
關鍵詞 | 乳癌; 放射性同位素淋巴結造影; 前衛性淋巴結; Breast cancer; Lymphoscintigraphy; Sentinel node; |
語文 | 中文(Chinese) |
中文摘要 | 前言:前衛性淋巴結的觀念已被臨床上認為是正確可靠而且可用於女性乳癌的患者身上,因而造成乳癌患者外科手術治療方式的重大改變。歐美各國的許多醫學中心已使用放射性同位素的方法來定位前衛性淋巴結,並獲得不錯的結果:惟至目前為止,如何定位前衛性淋巴結仍未有國際公認的標準步驟。本研究的目的在評估目前臺中榮民總醫院核醫科所使用的方法之有效性。 材料與方法:本研究一共收集50例的女性乳癌病例。患者於開刀之前先行接受放射性同位素前衛性淋巴結定位術;患者接受腫瘤邊緣注射37MBq鎝-99m-sulfur colloid(體積為6~10毫升),並於注射後一小時實施造影。 結論:我們所使用的方法可以非常有效的定位女性乳癌患者的前衛性淋巴結,為了要使此項技術更廣泛的被運用,我們亟需建立此項技術的標準步驟。 |
英文摘要 | Background: The "sentinel node" (SN) has proved to be reliable and could be applied in breast cancer with important consequences to the surgical management of breast cancer patients. Radionuclide method has been used for SN imaging in many medical centers. However, there is no standard procedure in this technique. We carried out a retrospective study to evaluate the efficacy of method we used for imaging SN in breast cancer. Materials and Methods: Fifty patients with breast cancer were included in this study. The SN imaging was per- formed at 1 hour after peri-tumoral injection of 37 MBq 99mTc- S colloid in 10 mi normal saline. Results: The overall rate of identification of hot spots (SN) was 94% (in 47 of 50 patients). Conclusion: The radionuclide method we used could identify SN very successfully, The standardization of this technique is warranted. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。