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腹主动脉旁淋巴结切除在子宫内膜癌手术治疗中的意义

王利君 王武亮 袁博 毛丽丽 徐臻

实用妇产科杂志2011,Vol.27Issue(11):845-847,3.
实用妇产科杂志2011,Vol.27Issue(11):845-847,3.

腹主动脉旁淋巴结切除在子宫内膜癌手术治疗中的意义

Role of Para-aortic Lymphadenectomy in the Surgical Treatment of Endometrial Carcinoma

王利君 1王武亮 1袁博 1毛丽丽 1徐臻1

作者信息

  • 1. 郑州大学第二附属医院,河南郑州450014
  • 折叠

摘要

Abstract

Objective:To explore the role of para-aortic lymphadenectomy In the Surgical pathological Staging and prognosis of endometrial carcinoma. Methods:68 cases of endometrial carcinoma accepted systematic pelvic and para-aortic lymphadenectomy in the Second Affiliated Hospital of Zhengzhou University from Jan 2005 to Jul 2010 were analyzed retrospectively. Results:15(22.1%) of 68 patients had lymph node metastases, 12 patients (17.6%) had pelvic lymph nodes metastases, 7 patients (0.3) had paraor-tic lymph nodes metastases, 4 patients!5. 9%)had both pelvic and para-aortic lymph nodes metastases, 3 patients(4. 4% )only had para-aortic metastases. The inconsistance between clinical and Surgical pathological Staging was 22.1%. Patients were followed up for 6-57 months (mean 26 months), one patient relapsed and one died of disease. Conclusions:The systematic pelvic and para-aortic lymphadenectomy is not only essential for an accurate surgical pathologic staging and a guidance for postoperative adjuvant therapy, but also can offer relevant prognostic information.

关键词

子宫内膜癌/腹主动脉/淋巴结切除术/手术病理分期

Key words

Endometrial carcinoma/Abdominal aorta/lymphadenectomy/Surgical pathological staging

分类

医药卫生

引用本文复制引用

王利君,王武亮,袁博,毛丽丽,徐臻..腹主动脉旁淋巴结切除在子宫内膜癌手术治疗中的意义[J].实用妇产科杂志,2011,27(11):845-847,3.

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