乳腺癌是严重影响女性健康的最常见的恶性肿瘤,也是女性癌症患者的第二位死因~([1])。乳腺癌患者同侧锁骨上淋巴结转移(ipsilateral supraclavicular lymph node metastasis,ISLM)对乳腺外科来说一直是个棘手的问题。乳腺癌患者在诊断时发生ISLM、不伴远处扩散的发生率较低,约占乳腺癌复发转移比例的1%~4.3%~([2-3])。在ISLM的治疗方面,普遍 Breast cancer is the most common malignant tumor that seriously affects women’s health and is the second leading cause of cancer in women ~ ([1]). Ipsilateral supraclavicular lymph node metastasis (ISLM) in breast cancer patients has been a thorny issue for breast surgery. The occurrence of ISLM at diagnosis in breast cancer patients is low with no distant spread, accounting for about 1% to 4.3% of the recurrence and metastasis of breast cancer ([2-3]). In the treatment of ISLM, common