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宫颈癌主动脉旁淋巴结转移的照射问题尚有争论。作者从1975～1984年对29例高危而未作淋巴结切除分期的宫颈癌作主动脉旁淋巴结照射研究,并作为整体放疗中的一部分。22例作淋巴造影,凡淋巴结有充盈缺损、完全破坏或淋巴管梗阻者为异常,否则为正常。25例未行手术,4例作开腹探查。20例因淋巴造影异常,另9例因肿瘤巨大且分化程度为中度或差而照射主动脉旁。这些病例均预计至少有主动脉旁淋巴结微小转移。照射方法:用10MV光子线,25例以前后、后前野,3例用4野,1例用旋转技术照射主动脉旁淋巴结,野上界延伸至T_(11～12)间隙(10例)、或T_(12)～L_1间隙(19例)。21例同时包括主动脉旁与盆部,8例则分开照射。主动脉旁野每次1.5～1.8Gy,总量42～50Gy,宫颈(A点)与盆部淋巴结
Cervical cancer aortic lymph node metastasis of the issue of radiation is still controversial. From 1975 to 1984, 29 cases of cervical cancer at high risk without lymph node dissection staging for aortic lymph node irradiation study, and as part of the overall radiotherapy. Twenty-two patients underwent lymphadenectomy. All lymph nodes were filled with defects and completely destroyed or lymphatic obstruction was abnormal. Otherwise, they were normal. 25 cases did not operate, 4 cases for laparotomy. 20 cases due to abnormal lymphangiography, and the other 9 cases due to tumor size and the degree of differentiation was moderate or poor and irradiated aorta. All of these cases are expected to have minimal aortic lymph node micrometastasis. Irradiation method: 10MV photon line, 25 cases before and after the anteroposterior, 3 cases with 4 field, 1 case of aortic lymph node irradiation rotation, the upper field extends to T_ (11 ~ 12) gap (10 cases), or T_ (12) ~ L_1 gap (19 cases). Twenty-one patients included both para-aortic and pelvic parts and eight patients were irradiated separately. Aortic bypass each 1.5 ~ 1.8Gy, the total 42 ~ 50Gy, cervix (A point) and pelvic lymph nodes