早期宫颈癌淋巴结转移的研究进展
| 作者: |
1王盼盼,
2张三元
1 山西医科大学第一临床医学院，太原 030001 2 山西医科大学第一医院妇科，太原 030001 |
| 通讯: |
张三元
Email: zsyprofessor@aliyun.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.07.037 |
摘要
淋巴结是宫颈癌转移的主要途径，为宫颈癌患者的预后及治疗提供重要依据。2018年国际妇产科联盟(the International Federation of Gynecology and Obstetrics，FIGO)的宫颈癌新分期已经把淋巴结是否转移纳入其中。早期宫颈癌淋巴结转移率较低，而手术行淋巴结清扫的主要目的在于判断预后及是否需要补充放化疗。目前宫颈癌术前淋巴结状态的评估方法主要为盆腔磁共振、CT、PET/CT等。为更好地评估淋巴结状态，同时减少盆腔淋巴结清扫术并发症，宫颈癌前哨淋巴结活检及淋巴结微转移等技术受到人们的关注。
关键词：
宫颈癌；淋巴结转移；前哨淋巴结；微转移
Progress in lymph node metastasis of early stage cervical cancer
CorrespondingAuthor: ZHANG Sanyan Email: zsyprofessor@aliyun.com
DOI: 10.3978/j.issn.2095-6959.2019.07.037
Abstract
Lymph nodes are the main way of cervical cancer metastasis, which provides an important basis for the prognosis and treatment of cervical cancer patients. The new stage of cervical cancer of the International Fedaration of Gynaecology and Obstetrics (FIGO) 2018 has included lymph node metastasis. The lymph node metastasis rate of early cervical cancer is low, and the main purpose of lymph node dissection is to judge the prognosis and whether supplementary radiotherapy and chemotherapy is needed. At present, the main methods to evaluate the preoperative lymph node status of cervical cancer are pelvic MRI, CT, PET/CT and so on. In order to better evaluate the lymph node status and reduce the complications of pelvic lymphadenectomy, sentinel lymph node biopsy and lymph node micrometastasis of cervical cancer have attracted people’s attention.
Keywords：
cervical cancer; lymph node metastasis; sentinel lymph node; lymph node micrometastasis