Metastatska zahvaćenost interpektoralnih (Rotterovih) limfnih čvorova u bolesnica s rakom dojke

Autor: Vrdoljak, Danko Velimir, Ramljak, Vesna, Mužina, Dubravka, Stanec, Mladen, Knežević, Fabijan, Juzbašić, Stjepan, Vrdoljak, Marica
Jazyk: angličtina
Rok vydání: 2003
Předmět:
Zdroj: Libri Oncologici : Croatian Journal of Oncology
Volume 31
Issue 1-3
ISSN: 2584-3826
0300-8142
Popis: The study was aimed at analyzing metastatic involvement in interpectoral (Rotter's) lymph nodes in patients with primary breast cancer. The study includes 172 female patients undergoing surgery for breast cancer at the University Hospital for Tumors, Zagreb, Croatia from November 2001 to August 2003. In addition to the standard surgical procedure, interpectoral (Rotter's) lymph nodes were removed in all of the patients. Rotter's lymph nodes were identified in 67% of the patients, with metastatic involvement revealed in 20% of the Rotter's nodes. Metastatic involvement of Rotter's nodes in patients with negative and positive axillary lymph nodes was 4% and 35%, respectively. The results show that one-fifth of breast cancer patients, or even one-third of them with positive axillary lymph nodes, are discharged with positive interpectoral lymph nodes that remain undiagnozed and non-extirpated. As the nodes can be surgically removed without additional mutilation or resections, the exploration of Rotter's lymph nodes should be introduced into routine clinical practice for diagnostic and therapeutic reasons.
U radu je analizirana metastatska zahvaćenost interpektoralnih (Rotterovih) limfnih čvorova u bolesnica s primarnim rakom dojke. Analizirane su 172 bolesnice s rakom dojke operirane u Klinici za tumore u Zagrebu, Hrvatska u razdoblju od studenog 2001. do kolovoza 2003. U svih su bolesnica, uz standardni kirurški zahvat, uklonjeni i interpektoralni (Rotterovi) limfni čvorovi. Rotterovi limfni čvorovi otkriveni su 67% bolesnica, od kojih je 20% bilo zahvaćeno metastazama. Metastatska zahvaćenost Rotterovih limfnih čvorova otkrivena je u 4% bolesnica s negativnim aksilarnim čvorovima, odnosno u 35% bolesnica s pozitivnim limfnim čvorovima aksile. Rezultati pokazuju da je jedna petina bolesnica s rakom dojke, ili čak jedna trećina s pozitivnim aksilarnim limfnim čvorovima otpuštena iz bolnice s pozitivnim interpektoralnim limfnim čvorovima koji nisu dijagnosticirani, pa tako ni uklonjeni. Kako se ti čvorovi mogu ukloniti bez dodatne mutilacije, otkrivanje Rotterovih limfnih čvorova treba postati redovitom kliničkom praksom u dijagnostici i terapiji.
Databáze: OpenAIRE
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