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:[目的]探讨临床Ⅰ期子宫内膜癌盆腔淋巴结转移率及盆腔淋巴结清扫术的意义。[方法]对102例经盆腔淋巴结清扫术的临床Ⅰ期子宫内膜癌进行临床分期与手术 病理分期对照 ,分析病理类型、肿瘤细胞分级、肌层浸润深度与淋巴结转移的关系。[结果]临床Ⅰ期子宫内膜癌盆腔淋巴结转移率为10 8% ,其中Ⅰb 期(20 0%)高于Ⅰa 期(4 8%) ,内膜样腺癌、浆液性腺癌、腺鳞癌及透明细胞癌的淋巴结转移情况分别为8/88、1/4、1/5、1/5,盆腔淋巴结转移还与肿瘤细胞分级及子宫肌层浸润深度相关(P<0 05)。[结论]Ⅰ期子宫内膜癌的临床分期与手术 病理分期有较大差异。盆腔淋巴结清扫术可明确分期 ,尤其对Ⅰa(G2、3)期、Ⅰb(G1、2、3)期及特殊病理类型(如浆液性腺癌、腺鳞癌、透明细胞癌)意义重大
: [Objective] To investigate the significance of clinical stage Ⅰ pelvic lymph node metastasis and pelvic lymph node dissection in endometrial cancer. [Method] 102 cases of clinical stage Ⅰ endometrial carcinoma undergoing pelvic lymphadenectomy were compared with the clinical stage and surgical pathological stage, and the relationship between the pathological type, tumor cell grade, depth of myometrial invasion and lymph node metastasis was analyzed. [Results] The clinical stage Ⅰ endometrial cancer pelvic lymph node metastasis rate was 108%, of which stage Ⅰ b (20 0%) was higher than in stage Ⅰ a (48%), endometrial adenocarcinoma, serous adenocarcinoma, adenosquamous carcinoma And lymph node metastasis of clear cell carcinoma were 8/88, 1/4, 1/5 and 1/5 respectively. The pelvic lymph node metastasis was also correlated with tumor cell grade and depth of myometrial invasion (P <0.05). [Conclusion] The clinical stage of stage Ⅰ endometrial carcinoma has much difference with the surgical pathological stage. Pelvic lymph node dissection can be staged staging, especially for Ⅰ a (G2, 3), Ⅰ b (G1,2,3) and special pathological types (such as serous adenocarcinoma, adenosquamous carcinoma, clear cell carcinoma) of great significance