Ⅰ、Ⅱa期宮頸癌盆腔淋巴結(jié)轉(zhuǎn)移危險(xiǎn)因素研究
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【摘要】 目的 探討Ⅰ、Ⅱa期宮頸癌盆腔淋巴結(jié)轉(zhuǎn)移的高危因素。方法 對(duì)根治術(shù)后208例Ⅰ、Ⅱa期宮頸癌患者臨床與病理資料進(jìn)行回顧性分析。結(jié)果 臨床分期、病理分級(jí)、浸潤(rùn)深度、腫瘤大小及形態(tài)、年齡與淋巴結(jié)轉(zhuǎn)移顯著相關(guān)。病理類型及宮體轉(zhuǎn)移與淋巴結(jié)轉(zhuǎn)移無相關(guān)性。結(jié)論 臨床分期晚,病理分級(jí)差,肌層浸潤(rùn)≥1/2,腫瘤直徑≥4 cm,內(nèi)生型腫瘤,年齡≤35歲均為Ⅰ、Ⅱa期宮頸癌淋巴結(jié)轉(zhuǎn)移高危因素。
【關(guān)鍵詞】 子宮頸癌;淋巴結(jié)轉(zhuǎn)移;高危因素
A preliminary study on the risk metastatic factors of pelvic lymph nodes in patients with cervical carcinoma of stage I and IIa.
ZHAO Ying, DU Pei-yan, HUANG Shou-song.Guangzhou City Tumor Hospital, Guangzhou 510000,China
【Abstract】 Objective To investigate the metastatic risk factors of pelvic lymph nodes in patients with cervical carcinoma of stage I and IIa.Methods The clinical and pathological information of 208 patients with cervical carcinoma of stage I and IIa after radical hysterectomy with pelvic lymphadenectomy were retrospectively analysed.Results Clinical stage, pathological grade, myometrial invation, tumor size, growth type and age were closely related to the metastasis of lymph nodes. No significant difference was found between squamous cell carcinoma and adenocarcinoma, uteroabdominal metastasis cases and no metastasis uterroabdominal cases ......
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