中国实用妇科与产科杂志2017，Vol.33Issue(12)：1226-1229,4.DOI:10.19538/j.fk2017120104
外阴癌淋巴结切除适应证和争议
Indications and controversies of lymphadenectomy in vulva cancer
林少丹 1谢玲玲 1林仲秋1
作者信息
- 1. 中山大学孙逸仙纪念医院,广东广州510120
- 折叠
摘要
Abstract
Vulva radical local excision and inguinofemoral lymphadenectomy are the standard surgical approach to vulva cancer.FIGO and NCCN guidelines recommend that groin dissection is not necessary for Stage Ⅰ A carcinoma of the vulva and all patients with FIGO stage Ⅰ B or stage Ⅱ lesions should have an inguinofemoral lymphadenectomy.It is desirable to determine the status of the groin nodes prior to planning the overall treatment for advanced vulvar cancer.If there are no suspicious nodes before surgery,bilateral inguinofemoral lymphadenectomy may be performed.If nodes are clinically positive,a complete lymphadenectomy should be avoided.Only enlarged nodes from the groin and pelvis should be removed if feasible,and the patient is given postoperative groin and pelvic radiation.There are some controversies about lymph node resection.Most scholars reach consensus on the such controversial issues as both inguinal and femoral nodes removal,groin dissection performed through a triple incision approach,groin dissection performed through a transverse incision approach,and the preservation of the saphenous vein.The need to perform bilateral lymphadenectomy for midline primary tumors not invading midline structures and the operation indication of inguinofemoral lymphadenectomy for bartholin gland carcinoma and melanoma remain to be investigated.关键词
外阴癌/腹股沟淋巴结切除/适应证Key words
vulva cancer/groin lymphnode dissection/indication分类
医药卫生引用本文复制引用
林少丹,谢玲玲,林仲秋..外阴癌淋巴结切除适应证和争议[J].中国实用妇科与产科杂志,2017,33(12):1226-1229,4.
