Ⅰ、Ⅱa期宫颈癌盆腔淋巴结转移危险因素研究  

A preliminary study on the risk metastatic factors of pelvic lymph nodes in patients with cervical carcinoma of stage Ⅰ and Ⅱa

作　　者：赵营[1] 杜佩妍[1] 黄守松 

机构地区：[1]广州医学院附属肿瘤医院妇瘤科,广州510095

出　　处：《中国实用医药》2007年第17期1-2,共2页China Practical Medicine

基　　金：广州市卫生局立项课题(项目编号2005YB192)

摘　　要：目的探讨Ⅰ、Ⅱa期宫颈癌盆腔淋巴结转移的高危因素。方法对根治术后208例Ⅰ、Ⅱa期宫颈癌患者临床与病理资料进行回顾性分析。结果临床分期、病理分级、浸润深度、肿瘤大小及形态、年龄与淋巴结转移显著相关。病理类型及宫体转移与淋巴结转移无相关性。结论临床分期晚,病理分级差,肌层浸润≥1/2,肿瘤直径≥4cm,内生型肿瘤,年龄≤35岁均为Ⅰ、Ⅱa期宫颈癌淋巴结转移高危因素。Objective To investigate the metastatic risk factors of pelvic lymph nodes in patients with cervical carcinoma of stage I and IIa.Methods The clinical and pathological information of 208 patients with cervical carcinoma of stage I and IIa after radical hysterectomy with pelvic lymphadenectomy were retrospectively analysed.Results Clinical stage,pathological grade,myometrial invation,tumor size,growth type and age were closely related to the metastasis of lymph nodes.No significant difference was found between squamous cell carcinoma and adenocarcinoma,uteroabdominal metastasis cases and no metastasis uterroabdominal cases.Conclusion The lated stage,worse in pathological grade,myometrial invation ≥1/2,tumor diameter ≥4 cm,endophytic type and age ≤35 are all the risk factors of lymph node,metastasis in cervical carcinoma of stage I and IIa.

关 键 词：子宫颈癌 淋巴结转移 高危因素 

分 类 号：R737.33[医药卫生—肿瘤]