Ⅰb、Ⅱ期宫颈癌淋巴结状态与预后的关系研究  

Lymph node status and prognosis of stage Ⅰb,Ⅱ cervix carcinoma

作　　者：李胜泽[1] 马玲[1] 

机构地区：[1]安徽蚌埠医学院附属医院妇瘤科,安徽蚌埠233004

出　　处：《中国癌症杂志》2002年第4期323-325,共3页China Oncology

摘　　要：目的 :分析Ⅰb、Ⅱ期宫颈癌淋巴结状态与预后的关系 ,以指导临床治疗。方法 :回顾性分析了以手术治疗为主的Ib、Ⅱ期宫颈癌 6 0 2例中的 10 8例淋巴结转移病例 ,对淋巴结状态与预后的关系 ,以及 19例腹主淋巴结转移患者的盆腔淋巴结状态进行分析。结果 :淋巴结转移率 17.9% (10 8/ 6 0 2 ) ,五年生存率为 6 6 .7% ,其中 19例腹主淋巴结转移者 5年生存率为 4 7.4 %。双侧淋巴结转移者五年生存率 5 0 % ,转移淋巴结≥ 1.5cm者五年生存率4 6 .5 % ,2个或 2个以上淋巴结转移者五年生存率 5 7.1%。结论 :淋巴结状态可作为估计预后指标。盆腔淋巴结状态可作为腹主淋巴结清除指征 ,以提高转移腹主淋巴结清除率。Purpose:To analyse the relationship of lymph node status and prognosis of cervical carcinoma and to guide the clinical treatment. Methods:From June 1985 to June 1996,602 cases of stage Ⅰb and Ⅱ cervical cancer were treated by operation and among them 108 cases had lymph node metastases. The relationship of lymph node status and prognosis of the 108 patients and the pelvic lymph node status of the 19 patients with paraaortic lymph node metastases were studied retrospectively. Results:The rate of lymph node metastases was 17.9% (108/602). 5 year overall survival rate of the 108 patients was 66.7%. 5 year survival the patients with paraaortic, bilateral pelvic, more than one lymph node metastases, and the metastases lymph nodes large than 1.5cm were 47.4%, 50%, 57.1%, 46.5%,respectively. Conclusions:The status of lymph nodes of patients may be used as evaluation of prognosis. The status of the pelvic lymph node can be a guide to resection the para aortic lymph nodes and thus can improve the resecting rate of paraaortic lymph nodes.

关 键 词：Ⅱ期宫颈癌 宫颈肿瘤 淋巴结 预后 肿瘤转移 Ⅰb期宫颈癌 

分 类 号：R737.33[医药卫生—肿瘤]