摘要
目的 分析宫颈癌患者后腹膜淋巴结的转移情况。方法 5年来进行广泛性子宫和盆腔淋巴结切除的FIGOⅠ期和Ⅱ期患者 59例 ,其中 57例术前进行了间接法盆腔淋巴结造影。切除的淋巴结分装标记送病检。结果 有淋巴结转移者 1 8例 ,转移率 30 %。切除的淋巴结数目 1 3～ 35个 ,平均 2 2个。转移部位以髂内最多 ,其余依次为闭孔、髂外、髂总、腹股沟深淋巴结 ,右侧多于左侧 ,但P >0 .0 5。临床Ⅰ期淋巴结阳性 2 4 .3 % ;Ⅱ期 40 .9% ,P >0 .0 5。术前淋巴造影与术后病理相符 2例 ,不符 2 8例 ,二者无相关关系 ,P >0 .0 5。结论 宫颈癌患者的盆腔淋巴结转移问题不容忽视。目前采用的临床分期尚存在一定的局限性。盆腔淋巴结切除对临床Ⅰ期宫颈癌是必要的。淋巴结的转移部位无特殊性。
Objective To analyse the state of retroperitoneal lymph node metastasis of cervical cancer.Methods Operation was performed in 59 cases of FIGO Ⅰ and Ⅱ stage in five years (extensive abdominal hysteretomy and bilateral pelvic lymphadenectomy),of them 57 cases were undergone lymphography by using indirect method before operation.The samples were pathologically diagnosed.Results The lymph nodes metastatic rate was 30.5% (18/59).The node numbers of resection were 13～35,mean 22.The metastases were more often found in internaliliac node and the right (P>0.05).The total coincidence of lymphography was 2 cases and 28 cases were inconsistent .Conclusion Node metastasis of cervical cancer should not be ignored and the clinical staging used at the present has some limitations in showing the depth of infiltration,size,node metastases.It is necessary to resect pelvic node of stage I. Lymphography of indirect method should be further improved.
出处
《中国肿瘤临床与康复》
2002年第4期108-109,共2页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
宫颈癌
淋巴结
转移
lymph node metastases
cervical cancer
