摘要
目的探讨子宫内膜癌的淋巴结转移规律。方法对1999～2002年因子宫内膜癌在我院接受子宫切除及盆腔淋巴结清扫术的48例患者的临床及病理资料进行分析。结果48例患者中12例有盆腔淋巴结转移,与I期患者相比,II和III期患者的盆腔淋巴结转移率明显升高,差异有显著性(P<0.05)。癌灶位于宫体和侵犯宫颈组在髂外、内和髂总淋巴结转移的分布上有显著性差异(P<0.05)。结论在盆腔各组淋巴结中,髂外淋巴结组最易受累,其次为闭孔、髂内、髂总淋巴结组。病灶局限于宫体者多侵犯髂外淋巴结,侵及宫颈者多先为闭孔淋巴结受累,再转移到髂内、髂外和髂总淋巴结。
Objective To assess different patterns of lymphatic spread to pelvic lymph nodes （LNs） in endometrial cancer. Methods Between 1999 and 2002, 48 patients with endometrial cancer were managed with hysterectomy and node dissection at our institution. Results The present study includes the 12 patients who had positive pelvic LNs. Compared with clinical stage Ⅰ patients, stage Ⅱ and Ⅲ patients had higher LNs rate （P〈0.05）. There were significant difference in common iliac , external iliac and internal iliac LNs between tumor confined to the uterine and had cervical involvement （P〈 0.05）. Conclusion External iliac LNs are the most commonly involved LNs in endometrial cancer, then the obturator, internal iliac and common LNs. The carcinomas limited to the uterine corpus were more frequently observed in external iliac LNs, whereas endometrial cancers invading the cervix spread more likely to the obturator ,internal , external and common iliac LNs.
出处
《中国现代医药杂志》
2006年第11期65-66,共2页
Modern Medicine Journal of China
关键词
子宫内膜癌
淋巴结转移
Endometrial carcinoma Lymphatic spread
