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子宫内膜癌细胞学检查阳性与淋巴转移的关系研究

刘淑兰 孙建萍 毕宝亮

中国现代医学杂志2018,Vol.28Issue(11):107-111,5.
中国现代医学杂志2018,Vol.28Issue(11):107-111,5.DOI:10.3969/j.issn.1005-8982.2018.011.021

子宫内膜癌细胞学检查阳性与淋巴转移的关系研究

Clinical study on relationship between positive peritoneal lavage cytology and lymph node metastasis in endometrial carcinoma

刘淑兰 1孙建萍 1毕宝亮1

作者信息

  • 1. 山东省高密市中医院 妇产科,山东 高密 261500
  • 折叠

摘要

Abstract

Objective To study the correlation between positive peritoneal lavage cytology and lymph node metastasis in early endometrial cancer. Methods The clinical and pathological data of endometrial cancer patients who accepted surgical pathological staging in our hospital from 2010 to 2015 were retrospectively analyzed. Among them, 10 patients (3.4%) had positive peritoneal lavage cytology (PPC group) and 284 had negative peritoneal lavage cytology (NPC group). For statistical analysis, Chi-square test and logistic regression model were used. Results Lymph node metastasis rate in the PPC group was significantly higher than that in the NPC group, regardless of histopathological types (P < 0.05). Adjusting other influencing factors in the multivariable model, positive peritoneal cytology was still an independent risk factor for lymph node metastasis (P < 0.05). Conclusions Endometrial cancer patients with positive peritoneal cytology are at high risk of lymph node metastasis and poor prognosis. Although peritoneal fluid cytology is no longer one of the FIGO endometrial cancer staging criteria, it still plays an important role in the process of clinical decision-making.

关键词

腹腔冲洗液/淋巴结/转移/子宫内膜癌

Key words

peritoneal fluid/lymph node/metastasis/endometrial cancer

分类

医药卫生

引用本文复制引用

刘淑兰,孙建萍,毕宝亮..子宫内膜癌细胞学检查阳性与淋巴转移的关系研究[J].中国现代医学杂志,2018,28(11):107-111,5.

中国现代医学杂志

OACSTPCD

1005-8982

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