早期胃癌淋巴结转移诊断研究进展  

Research progress in the diagnosis of lymph node metastasis in early gastric cancer

作　　者：孔云飞(综述) 张进(审校)[1] Kong Yunfei;Zhang Jin(Department of General Surgery,Affiliated Hospital of Jiangsu University,Jiangsu Province,Zhenjiang 212000,China)

机构地区：[1]江苏大学附属医院普通外科,镇江212000

出　　处：《疑难病杂志》2023年第8期889-892,896,共5页Chinese Journal of Difficult and Complicated Cases

基　　金：国家自然科学基金资助项目(81301693)。

摘　　要：淋巴结状态是早期胃癌患者预后的独立影响因素,术前准确判断淋巴结的状态对早期胃癌患者选择内镜下切除或根治性的外科手术作为更加合适的治疗方式,避免治疗不足或过度治疗有重大的临床意义。近年来,以超声内镜和CT为代表的影像学检查、前哨淋巴结活检示踪技术、癌周组织的分子标志物、外周血中肿瘤标志物和炎性反应相关指标比值等方法在早期胃癌出现淋巴结转移的判断上的研究较多,文章就目前判断早期胃癌淋巴结转移的方法作一综述。The status of lymph nodes is an independent influencing factor for the prognosis of early gastric cancer patients.Accurately determining the status of lymph nodes before surgery is of great clinical significance for early gastric cancer patients to choose endoscopic resection or radical surgery as a more appropriate treatment method,and to avoid insufficient or excessive treatment.In recent years,there have been many studies on the judgment of lymph node metastasis in early gastric cancer,such as imaging examination represented by EUS and CT,Sentinel lymph node biopsy tracer technology,molecular markers of surrounding tissues,the ratio of tumor markers in peripheral blood and inflammatory response related indicators.This article reviews the current methods of judging lymph node metastasis in early gastric cancer.

关 键 词：早期胃癌 淋巴结转移 判断指标 肿瘤标志物 

分 类 号：R735.2[医药卫生—肿瘤]