Concerns about pelvic and para-aortic lymphadenectomy in the surgical treatment of cervical cancer.

doi:10.7504/fk2015050105

Abstract

Abstract:

Abstract:Pelvic and para-aortic lymphadenectomy are the important parts of surgical treatment of cervical cancer.But there are still some concerns about the lymph node dissection like： how to judge the extent of pelvic lymphadenectomy? When to choose the para-aortic lymphadenectomy and what’s the sentinel lymph node’s effect in the treatment of cervical cancer? We will discuss the questions in the following paper.

Key words: cervical cancer, pelvic lymphadenectomy, para-aortic lymphadenectomy, sentinel lymph node

摘要：

盆腹腔淋巴结切除是宫颈癌手术治疗的重要组成部分。如何评判盆腔淋巴结切除是否彻底？哪些患者需要腹主动脉旁淋巴结切除？前哨淋巴结在宫颈癌治疗中的作用？这些是当今宫颈癌淋巴结切除面临的问题，文章就以上问题进行讨论。

关键词: 宫颈癌, 盆腔淋巴结切除, 腹主动脉旁淋巴结切除, 前哨淋巴结

CLC Number:

R737.3

DONG Wei-hong，WANG Ze-hua.. Concerns about pelvic and para-aortic lymphadenectomy in the surgical treatment of cervical cancer.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2015050105.

董卫红，王泽华. 宫颈癌手术盆腹腔淋巴结切除相关问题[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2015050105.

References

［1］    National Comprehensive Cancer Network NCCN Clinical Practice Guidelines in Oncology Cervical Cancer Version 2.2015 Available at：http：//www.nccn.org/professionals/physician_gls/pdf/cervical.pdf

［2］    苏应宽，刘新民.妇产科手术学［M］.北京：人民卫生出版社，1993：131-136.

［3］    徐惠成，梁志清.子宫颈癌腹腔镜手术操作指南［J］.中国癌症防治杂志，2012，4：23-28.

［4］   David MG，Alen HD，Stephen LC，et al. Operative Gynecology［M］.北京：人民卫生出版社，2002：301-309.

［5］    尹月菊，盛修贵李兴兰，等.早期宫颈癌髂外末端淋巴结转移规律和影响因素［J］.中华肿瘤杂志，2014，36：457-460.

［6］    刘新明.妇产科手术学［J］.北京：人民卫生出版社，2003：260-268.

［7］    Benedetti Panici P，Basile S，Angioli R.Pelvic and aortic lymphadenectomy in cervical cancer： the standardization of surgical procedure and its clinical impact［J］. Gynecol Oncol，2009，113： 284-290.

［8］    罗希，温放.妇科恶性肿瘤淋巴结清除数目与淋巴结转移关系的探讨［J］.西南国防医学，2012，22：534-535.

［9］    Lutman CV，Havrilesky LJ，Cragun JM，et al. Pelvic lymph node count is an important prognostic variable for FIGO stage Ⅰand Ⅱendometrial carcinoma with high-risk histology［J］.Gynecol Oncol，2006，102：92-97.

［10］   Davies JD，simons CM，Ruthotina N，et al. Anatomic basis for lymph node counts as measure of lymph node dissection extent： a cadaveric study［J］. Urology，2013，81：358-363.

［11］   Cibula D，Abu-Rustum NR.Pelvic lymphadenectomy in cervical cancer-surgical anatomy and proposal for a new classification system［J］. Gynecol Oncol，2010，116：33-37.

［12］   Sakuragi N，Satoh C，Takeda N，et al.Incidence and distribution pattern of pelvic and paraaortic lymph node metastasis in patients with stages ⅠB，ⅡA，and ⅡB cervical carcinoma treated with radical hysterectomy［J］. Cancer，1999，85：1547-1554.

［13］   Gouy S，Morice P，Narducci F，et al. Prospective multicenter study evaluating the survival of patients with locally advanced cervical cancer undergoing laparoscopic para-aortic lymphadenectomy before chemoradiotherapy in the era of positron emission tomography imaging［J］. J Clin Oncol，2013，31： 3026-3033.

［14］   杨华，吕江涛，谭先杰，等.早期宫颈癌根治性手术腹主动脉旁淋巴清扫必要性研究［J］.中国实用妇科与产科杂志，2013，29：719-722.

［15］   Cibula D，Oonk MH，Abu-Rustum NR.Abu-Rustum. Sentinel lymph node biopsy in the management of gynecologic cancer［J］. Curr Opin Obstet Gynecol，2015，27：66-72.

（2015-02-24收稿）

Related Articles 15

[1]	. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(6): 634-641.
[2]	. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(5): 524-528.
[3]	. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(4): 434-442.
[4]	. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(1): 66-72.
[5]	CHEN Chun-lin, LI Zhi-qiang. Several issues that need attention in quality control of surgical treatment for cervical cancer. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(1): 22-24.
[6]	. [J]. Acta Metallurgica Sinica, 2021, 37(6): 660-664.
[7]	. [J]. Acta Metallurgica Sinica, 2021, 37(4): 467-467.
[8]	. [J]. Acta Metallurgica Sinica, 2021, 37(2): 185-188.
[9]	. [J]. Acta Metallurgica Sinica, 2021, 37(1): 82-86.
[10]	ZHAO Jian，GUO Wen-wen. Recommendations for cervical cancer screening and management of cervical lesions in young women aged 21-24. [J]. Acta Metallurgica Sinica, 2020, 36(7): 608-612.
[11]	LI Qiao，YIN Ru-tie. Cervical cancer screening and management of cervical lesions in elderly women. [J]. Acta Metallurgica Sinica, 2020, 36(7): 615-617.
[12]	. [J]. Acta Metallurgica Sinica, 2020, 36(6): 531-535.
[13]	Eiji Kobayashi. Laparoscopic radical hysterectomy in Japan：perspectives from the Japan Gynecologic Oncology Group. [J]. Acta Metallurgica Sinica, 2020, 36(4): 324-325.
[14]	Pedro T.Ramirez. [J]. Acta Metallurgica Sinica, 2020, 36(4): 303-307.
[15]	. [J]. Acta Metallurgica Sinica, 2020, 36(2): 131-138.