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| Effects of Different Sentinel Lymph Node Incisions on Lymph Node Detection and Subcutaneous Effusion in Breast-Conserving Surgery for Breast Cancer |
| LIU Hui |
| Luyi County People's Hospital, Zhoukou Henan 477299 |
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Abstract 【Objective】To explore the effects of different sentinel lymph node (SLN) incisions on lymph node detection and subcutaneous effusion in breast-conserving surgery for breast cancer. 【Methods】A total of 135 female breast cancer patients who underwent breast-conserving surgery from June 2017 to April 2023 were selected and divided into the observation group (n=67) and the control group (n=68) according to different SLN incision methods. The control group received axillary incisions, while the observation group received periareolar incisions. The two groups were compared in terms of SLN detection, subcutaneous effusion, quality of life, surgery-related indicators, and incidence of complications. 【Results】There was no statistically significant difference in SLN detection between the observation group and the control group (P>0.05). The operation time of the observation group was shorter than that of the control group, and the intraoperative blood loss was less than that of the control group, with statistically significant differences (P<0.05). At 3 months after surgery, the ROETC QLQ-BR45 scores and FACT-B scores of both groups were higher than those before surgery, and the observation group had higher scores than the control group, with statistically significant differences (P<0.05). There were no statistically significant differences in the incidence of complications and tumor recurrence rate between the two groups (P>0.05). 【Conclusion】Different SLN incisions have good effects in breast-conserving surgery for breast cancer, with a high number of detected SLNs, low tumor recurrence rate and subcutaneous effusion rate. However, the periareolar incision has obvious advantages in improving patients' postoperative quality of life.
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Received: 01 May 2025
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2025, Vol. 42 
