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  • 1 Országos Onkológiai Intézet Általános és Mellkassebészeti Osztály Budapest Ráth György u. 7–9. 1122
  • 2 Országos Onkológiai Intézet Nukleáris Medicina Osztály Budapest
  • 3 Országos Onkológiai Intézet Radiológiai Diagnosztikus Osztály Budapest
  • 4 Országos Onkológiai Intézet Intézeti Gyógyszertár Budapest
  • 5 Országos Onkológiai Intézet Fej-Nyak-Állcsont és Rekonstrukciós Sebészet, Onkológiai Helyreállító Plasztikai Sebészet és Lézersebészeti Osztály Budapest
  • 6 Semmelweis Egyetem Általános Orvostudományi Kar Budapest
  • 7 Saitama Medical School Department of Breast Oncology Saitama Japan
Open access

A regionális nyirokcsomóstátus az emlőrák legfontosabb prognosztikai faktora. A korai, klinikailag nyirokcsomó-negatív emlőrákoknál az őrszemnyirokcsomó-biopszia az axillaris staging standard módszere. A preoperatív limfoszcintigráfia az őrszemnyirokcsomók számának és elhelyezkedésének meghatározásával pontosítja a biopsziát. Az utóbbi években az idős, túlsúlyos betegeknél, atípusos vagy extraaxillaris nyirokelvezetésnél, nem ábrázolódó, illetve az izotópbeadási helyhez közeli őrszemnyirokcsomók meghatározásához egy új, hibrid képalkotó eljárás, a komputertomográfiával kombinált single photon emissziós komputertomográf (3D SPECT/CT) nyújt segítséget. A szerzők magyarul elsőként tekintik át az emlőrák-őrszemnyirokcsomó meghatározásával foglalkozó, a 3D SPECT/CT teljes – máig mindössze 14 közleményből álló – angol nyelvű szakirodalmát. Összefoglalásként elmondható, hogy a 3D SPECT/CT növeli a preoperatív őrszemnyirokcsomó-meghatározás eredményességét, minőségét, segítve ezzel a rutin klinikai gyakorlatban az emlőrákos betegek pontosabb stagingjét. Orv. Hetil., 2011, 152, 678–688.

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