{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T06:13:49Z","timestamp":1751436829641},"reference-count":2,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2020,3]]},"abstract":"Absztrakt: <\/jats:title>\n \n Bevezet\u00e9s:<\/jats:italic> Az \u0151rszemnyirokcsom\u00f3-biopszia (SNB) bevezet\u00e9s\u00e9vel a\n h\u00f3nalji blokkdissecti\u00f3k (ABD) ar\u00e1nya jelent\u0151sen cs\u00f6kkent. Az extracapsularis\n terjed\u00e9s (ECT) jelenl\u00e9te az \u0151rszemnyirokcsom\u00f3kban azonban bizonytalan\n jelent\u0151s\u00e9g\u0171. M\u00f3dszer:<\/jats:italic> Retrospekt\u00edv vizsg\u00e1latunkban 635\n T1-T2N0M0 klinikai st\u00e1dium\u00fa eml\u0151r\u00e1kos beteg adatait elemezt\u00fck, akikn\u00e9l SNB-t\n v\u00e9gezt\u00fcnk 2014 \u00e9s 2018 k\u00f6z\u00f6tt. Az esetek 25%-\u00e1ban (158 beteg) igazol\u00f3dott\n \u0151rszemnyirokcsom\u00f3- (SN) \u00e1tt\u00e9t. Az SN-\u00e1tt\u00e9tes betegeinket k\u00e9t csoportra osztottuk\n aszerint, hogy igazol\u00f3dott-e az SN-ben ECT, vagy nem. Vizsg\u00e1latunk f\u0151 c\u00e9lja az\n volt, hogy elemezz\u00fck a massz\u00edv (>3) nyirokcsom\u00f3\u00e1tt\u00e9t ar\u00e1ny\u00e1t az ECT-negat\u00edv\n \u00e9s -pozit\u00edv betegekn\u00e9l, akikn\u00e9l ABD t\u00f6rt\u00e9nt. Eredm\u00e9nyek:<\/jats:italic> Az\n ECT-negat\u00edv csoportba 91\/158 beteg (58%), m\u00edg az ECT-pozit\u00edvba 67\/158 beteg\n (42%) ker\u00fclt. Az ECT-negat\u00edv betegek 42%-\u00e1n\u00e1l, az ECT-pozit\u00edvok 69%-\u00e1n\u00e1l t\u00f6rt\u00e9nt\n ABD. Nem tal\u00e1ltunk szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get a k\u00f6vetkez\u0151 v\u00e1ltoz\u00f3kban: \u00e9letkor,\n tumorm\u00e9ret, sz\u00f6vettani t\u00edpus, grade \u00e9s lymphovascularis inv\u00e1zi\u00f3 jelenl\u00e9te,\n valamint a hormon- \u00e9s HER2-receptorok ar\u00e1nyai k\u00f6z\u00f6tt. Amennyiben az SN-ben nem\n igazol\u00f3dott ECT, de ABD t\u00f6rt\u00e9nt, akkor a pN1-\u00e9rintetts\u00e9g ar\u00e1nya 82%-os, m\u00edg a\n pN2+pN3 ar\u00e1nya 18%-os volt. Az ECT-pozit\u00edv ABD-s csoportban a pN1-\u00e9rintetts\u00e9g\n 60%-os volt, m\u00edg a pN2+pN3 ar\u00e1ny 40%-osnak bizonyult, amely az ECT-negat\u00edv\n csoport k\u00e9tszerese; ez a k\u00fcl\u00f6nbs\u00e9g szignifik\u00e1ns (p<\/jats:italic> = 0,038).\n K\u00f6vetkeztet\u00e9sek:<\/jats:italic> Az ECT a h\u00f3nalj massz\u00edv\n nyirokcsom\u00f3-\u00e9rintetts\u00e9g prediktora, ez\u00e9rt ha ECT igazol\u00f3dik, akkor ez egy olyan\n t\u00e9nyez\u0151, amelyet az ABD-r\u0151l val\u00f3 d\u00f6nt\u00e9sben figyelembe kell venni.<\/jats:p>","DOI":"10.1556\/1046.73.2020.1.2","type":"journal-article","created":{"date-parts":[[2020,3,14]],"date-time":"2020-03-14T07:21:21Z","timestamp":1584170481000},"page":"16-22","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Az \u0151rszemnyirokcsom\u00f3 extracapsularis \u00e1tt\u00e9t\u00e9nek jelent\u0151s\u00e9ge az eml\u0151r\u00e1k seb\u00e9szi kezel\u00e9s\u00e9ben"],"prefix":"10.1556","volume":"73","author":[{"given":"R\u00f3bert","family":"Mar\u00e1z","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Seb\u00e9szeti Oszt\u00e1ly, B\u00e1cs-Kiskun Megyei K\u00f3rh\u00e1z, a Szegedi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Oktat\u00f3k\u00f3rh\u00e1za6000 Kecskem\u00e9t, Ny\u00edri \u00fat 38."},{"name":"2 Onkoradiol\u00f3giai K\u00f6zpont, B\u00e1cs-Kiskun Megyei K\u00f3rh\u00e1z, a Szegedi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Oktat\u00f3k\u00f3rh\u00e1zaKecskem\u00e9t"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Venczel","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Seb\u00e9szeti Oszt\u00e1ly, B\u00e1cs-Kiskun Megyei K\u00f3rh\u00e1z, a Szegedi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Oktat\u00f3k\u00f3rh\u00e1za6000 Kecskem\u00e9t, Ny\u00edri \u00fat 38."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Sikorszki","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Seb\u00e9szeti Oszt\u00e1ly, B\u00e1cs-Kiskun Megyei K\u00f3rh\u00e1z, a Szegedi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Oktat\u00f3k\u00f3rh\u00e1za6000 Kecskem\u00e9t, Ny\u00edri \u00fat 38."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9va","family":"Ambr\u00f3zay","sequence":"additional","affiliation":[{"name":"3 Kecskem\u00e9ti Centrum, MaMMa Eg\u00e9szs\u00e9g\u00fcgyi Zrt.Kecskem\u00e9t"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orsolya","family":"Serf\u0151z\u0151","sequence":"additional","affiliation":[{"name":"3 Kecskem\u00e9ti Centrum, MaMMa Eg\u00e9szs\u00e9g\u00fcgyi Zrt.Kecskem\u00e9t"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1ria","family":"Rajt\u00e1r","sequence":"additional","affiliation":[{"name":"4 Nukle\u00e1ris Medicina Oszt\u00e1ly, B\u00e1cs-Kiskun Megyei K\u00f3rh\u00e1z, a Szegedi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Oktat\u00f3k\u00f3rh\u00e1zaKecskem\u00e9t"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Cserni","sequence":"additional","affiliation":[{"name":"5 \u00c1ltal\u00e1nos Patol\u00f3giai Oszt\u00e1ly, B\u00e1cs-Kiskun Megyei K\u00f3rh\u00e1z, a Szegedi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Oktat\u00f3k\u00f3rh\u00e1zaKecskem\u00e9t"},{"name":"6 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Patol\u00f3giai Int\u00e9zet, Szegedi Tudom\u00e1nyegyetemSzeged"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdz235"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdz189"}],"container-title":["Magyar Seb\u00e9szet (Hungarian Journal of Surgery)"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/73\/1\/article-p16.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/73\/1\/article-p16.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T03:11:54Z","timestamp":1628910714000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/73\/1\/article-p16.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":2,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.1556\/1046.73.2020.1.2","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}