摘要
淋巴结转移是影响胃癌患者预后的重要因素之一,准确判断胃癌淋巴结转移状态对评估患者预后至关重要。pN分期作为临床最常用的淋巴结分期系统,由于存在阶段性分期偏倚,在一定程度上影响患者术后辅助治疗及预后评估。为解决这一问题,国内外学者提出用淋巴结转移率来评价胃癌患者的预后,但概念的混乱和淋巴结转移率分期临界值的不一致对其在临床推广应用产生一定影响。目前,淋巴结转移率分期及其对患者生存预测的价值仍是研究的一大热点。
Lymph node metastasis is one of the important factors affecting the prognosis of gastric cancer patients. It is very important to accurately determine the status of lymph node metastasis in gastric cancer patients. pN staging is the most commonly used lymph node staging system in clinic. Due to stage bias, it affects postoperative adjuvant therapy and prognosis assessment to some extent. In order to solve this problem, domestic and foreign scholars proposed to use lymph node metastasis rate to evaluate the prognosis of gastric cancer patients, but the confusion of concepts and the inconsistent staging threshold of lymph node metastasis rate have a certain impact on its clinical application. At present, lymph node metastasis rate and stage and its value in predicting patient survival are still a hot research area.
出处
《临床医学进展》
2021年第9期4155-4159,共5页
Advances in Clinical Medicine
