盆腔淋巴结清扫术在Ⅰ期子宫内膜癌治疗中的价值  

The Resection of Pelvic Lymph Nodes in Stage Ⅰ Emdometrial Carcinoma

作　　者：谢建华[1] 

机构地区：[1]宁波市妇女儿童医院,浙江宁波315012

出　　处：《浙江肿瘤》2000年第2期87-88,共2页

摘　　要：:[目的]探讨临床Ⅰ期子宫内膜癌盆腔淋巴结转移率及盆腔淋巴结清扫术的意义。[方法]对102例经盆腔淋巴结清扫术的临床Ⅰ期子宫内膜癌进行临床分期与手术 病理分期对照 ,分析病理类型、肿瘤细胞分级、肌层浸润深度与淋巴结转移的关系。[结果]临床Ⅰ期子宫内膜癌盆腔淋巴结转移率为10 8% ,其中Ⅰb 期(20 0%)高于Ⅰa 期(4 8%) ,内膜样腺癌、浆液性腺癌、腺鳞癌及透明细胞癌的淋巴结转移情况分别为8/88、1/4、1/5、1/5,盆腔淋巴结转移还与肿瘤细胞分级及子宫肌层浸润深度相关(P<0 05)。[结论]Ⅰ期子宫内膜癌的临床分期与手术 病理分期有较大差异。盆腔淋巴结清扫术可明确分期 ,尤其对Ⅰa(G2、3)期、Ⅰb(G1、2、3)期及特殊病理类型(如浆液性腺癌、腺鳞癌、透明细胞癌)To evaluate the incidence of lymph node metastasis and significane of pelvic lymphadenectomy in stage Ⅰ endometrial carcinoma One hundred and two patients with clinical stage Ⅰ disease have been surgically staged The relationship between lymph node metastasis and pathologic types,grade,depth of myometrial invasion was analysed Node metastasis was found in 10 8% of patients Pelvic node metastasis occurred in 4 8% of patients with stage Ⅰa and 20 2% with stage Ⅰb. Lymph node metastasis rate in patients with endometrioid adenocarcinoma,serous adenocarcinoma,adenosquamous carcinoma and clear cell adenocarcinoma was 8/88、1/4、1/5 and 1/5,respectively Metastases were directly related to the differentiation of the tumor,depth of myometrial invasion [Conclusions]Bigger difference is found between clinical staging and surgical staging Pelvic lymphadenectomy defines staging for endometrial carcinoma and plays an important role to the patients with stage Ⅰa(G2、3)、stage Ⅰb(G1、2、3)and some special pathologic types diseases

关 键 词：子宫内膜癌 淋巴结切除 治疗 

分 类 号：R737.330.5[医药卫生—肿瘤]