论文部分内容阅读
卵巢癌患者虽在Ⅰ_a～Ⅰ_c期就可有后腹膜淋巴结转移,但对淋巴结清扫术在该症手术治疗中的地位仍有争论。作者自1980年以来,对收治的34例卵巢癌患者,在施行肿瘤广泛切除同时,对后腹膜淋巴结,特别是盆腔淋巴结均作摘除术和常规连续切片检查;当主动脉旁淋巴结肿大或疑有转移时,亦作活检。病理检查结果:盆腔淋巴结总阳性率为19/34(56%),其中Ⅰ_B为1/1;Ⅰ_C1/2;Ⅱ_B1/2;Ⅲ13/23;Ⅳ3/6。肿瘤分期与淋巴结内转移的大小或部位无关。文献报导29%的卵巢癌患者淋巴造影阳性,其中Ⅰ～Ⅱ期为15%,Ⅲ期30%,Ⅳ期62%;
Although ovarian cancer in Ⅰ a ~ Ⅰ_c stage may have retroperitoneal lymph node metastasis, but the status of lymph node dissection in the surgical treatment of the disease is still controversial. Since 1980, 34 patients with ovarian cancer admitted to our hospital have undergone extensive resection of the tumor and resection of the retroperitoneal lymph nodes, especially pelvic lymph nodes, and routine serial biopsy. When the aortic lymph nodes are enlarged or suspicious Transfer, but also for biopsy. The pathological examination showed that the total positive rate of pelvic lymph nodes was 19/34 (56%), among them, Ⅰ_B was 1/1; Ⅰ_C1 / 2; Ⅱ_B1 / 2; Ⅲ13 / 23; Ⅳ3 / 6. Tumor stage and lymph node metastasis size or location has nothing to do. Literature reported that 29% of ovarian cancer patients with lymphadenectomy positive, of which Ⅰ ~ Ⅱ 15%, Ⅲ 30%, Ⅳ 62%;