超声对乳腺癌腋窝淋巴结状态评估的应用进展

李智博, 周军

doi:10.3969/j.issn.1006⁃5725.2020.22.027

实用医学杂志 >

2020 , Vol. 36 >Issue 22: 3161 - 3165

DOI: https://doi.org/10.3969/j.issn.1006⁃5725.2020.22.027

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超声对乳腺癌腋窝淋巴结状态评估的应用进展

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三峡大学第一临床医学院超声科（湖北宜昌443003）

网络出版日期: 2020-12-14

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Progress of ultrasonic evaluation in axillary lymph nodes of breast cancer

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Depart⁃ment of Ultrasound，the First College of Clinical Medical Sciences，China Three Gorges University，Yichang 443003，China

Online published: 2020-12-14

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摘要

乳腺癌是女性最常见的恶性肿瘤，腋窝淋巴结的状态对乳腺癌患者具有重要意义。超声是临床上评估腋窝淋巴结状态的重要手段之一。常规超声能从形态、内部回声及血流分布情况对腋窝淋巴结状态进行评估，而弹性成像及超声造影可通过腋窝淋巴结的软硬度及血流灌注情况，更好地判断腋窝淋巴结的良恶性。超声引导下穿刺活检术能提供腋窝淋巴结的病理信息，进一步提高诊断的准确性。人工智能技术的发展，也为超声对乳腺癌患者腋窝淋巴结评估提供了更多参考。本文就不同超声技术在乳腺癌腋窝淋巴结中的应用进展进行综述。

关键词： 超声检查; 乳腺肿瘤; 腋窝淋巴结; 转移

本文引用格式

李智博, 周军 . 超声对乳腺癌腋窝淋巴结状态评估的应用进展[J]. 实用医学杂志, 2020 , 36(22) : 3161 -3165 . DOI: 10.3969/j.issn.1006⁃5725.2020.22.027

Abstract

Breast cancer is the most common malignant tumor in women. The status of axillary lymphnodes is of great significance to breast cancer patients. Ultrasound is one of the most important method to evaluatethe status of axillary lymph nodes. Conventional ultrasound can evaluate the status of axillary lymph nodes from theshape，internal echo and blood flow distribution，while elastic imaging and contrast⁃enhanced ultrasound can betterjudge the benign and malignant of axillary lymph nodes through the hardness and blood flow perfusion of axillarylymph nodes. Ultrasound⁃guided biopsy can provide pathological information of axillary lymph nodes and furtherimprove the accuracy of diagnosis. The development of artificial intelligence technology also provides more refer⁃ence for ultrasound to evaluate axillary lymph nodes of breast cancer patients. The advances of different ultrasoundtechniques used in axillary lymph nodes of breast cancer was reviewed in this article.

Key words： ultrasonography; breast cancer; axillary lymph nodes; metastasis

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