乳腺癌-英文版.pptVIP

* axillary??英?[?k‘s?l?r?]腋窝的 jaundice??英?[’d???nd?s] n. 黄疸；偏见；乖僻 dyspnea?美?[d?spni?]?n. [内科] 呼吸困 ipsilateral???英?[,?ps?‘l?t(?)r(?)l]??adj. 身体的同侧的 fused??[fj?zd]??adj. [物] 熔化的，[化学] 熔凝的 mammography??[m?m?gr?f?]?n. 乳房X线照相术 mammography英?[m?m?gr?f?]n. 乳房X线照相术 Benign:Smooth movable. Malignant Like many sands 15 particles per square centimeter aspiration??英?[?sp?‘re??(?)n]细针穿刺细胞学 Core needle biopsy芯针活组织检查 针吸细胞学(Fine Needle Aspiration Cytology) * It is important to make effective and proper cured measures. sentinel英?[sent?n(?)l] 前哨 mastectomy??[m?stekt?m?]乳房切除术 pectoral??[pekt(?)r(?)l]?adj. 胸的；肺病的n. 胸饰；治疗胸肺药物 internal thoracic英?[θ??r?s?k] ?胸内的 Diagnosis --biopsy FNAC（fine needle aspiration cytology） Cytology 70% accuracy Core needle biopsy Histology 90% accuracy Avoid excisional biopsy Meaning Guidance for therapeutic approaches Prediction of recurrence risk Prediction of therapeutic response Staging criteria Primary tumors Number of metastatic lymph nodes Distal metastasis Staging 8. Treatment principle Surgery radical mastectomy (Halsted) Extensive radical mastectomy modified radical mastectomy Breast conservative surgery Sentinel axillary LN biopsy 8.1. Operation methods  (1) radical mastectomy Remove the pectoral major and small chest muscles (2) Extended radical mastectomy扩大根治术 further remove the internal thoracic vessels and surrounding lymph nodes (3) modified radical mastectomy+ axillary dissection改良根治术+腋窝淋巴结切除 Sentinel lymph node?-SLN前哨淋巴结 The SLN is the first regional lymph node draining the primary tumor. If the cancer has spread, it is most likely to find metastases in the SLN. SLN（－）， axillary regional lymph node negative SLNB indications适应症 SLNB(Sentinel Lymph Node Biopsy 前哨淋巴结活检 ) ?clinical axillary lymph node negative patients 。 However，?patients with positive axillary lymph nodes? after the fine needle biopsy? The choice of the tracer示踪剂的选择 Combination of ra