早期子宫内膜癌淋巴结切除的进展与争议

来源 :中国医师杂志 | 被引量 : 0次 | 上传用户:guojade_2009
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子宫内膜癌是妇科常见恶性肿瘤之一,其总体预后较好。但高危、复发和转移的子宫内膜癌预后较差,淋巴结转移是影响其预后的一个重要因素。早期子宫内膜癌是否需要行淋巴结切除及清扫的范围仍存在争议。本文对早期子宫内膜癌患者淋巴结切除的研究进展(包括早期患者行淋巴结切除的指征、淋巴结切除范围以及前哨淋巴结活检术的应用)作一综述。“,”Endometrial cancer (EC) is one of the most common gynecologic malignancy. Although the overall prognosis of EC patients is relatively good, patients with high-grade, recurrent, metastatic usually have a dismal prognosis. Lymph node status is one of the most important prognostic factors. However, for patients of early EC, whether lymphadenectomy must to be performed and its extent are still controversial. In this article, the indications of lymphadenectomy for early EC patients, the level of para-aortic lymph node dissection and the application of sentinel lymph node biopsy (SLNB) were reviewed respectively.
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