《子宮內(nèi)膜癌盆腔淋巴結(jié)的臨床病理特征分析》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在教育資源-天天文庫。

1、子宮內(nèi)膜癌盆腔淋巴結(jié)的臨床病理特征分析【摘要】目的研究分析子宮內(nèi)膜癌患者盆腔淋巴結(jié)轉(zhuǎn)移的相關(guān)因素及盆腔淋巴清掃術(shù)對預(yù)后的影響。方法對71例各期子宮內(nèi)膜癌患者的手術(shù)治療、不同臨床病理指標及預(yù)后進行回顧性分析。結(jié)果71例子宮內(nèi)膜癌患者淋巴結(jié)轉(zhuǎn)移與病理分級(P＜0.05)、肌層浸潤深度（P＜0.01）、宮頸累及（P＜0.01）、腹腔沖洗液可見癌細胞（P＜0.01）、宮旁或附件累及（P＜0.01）均相關(guān)，與癌灶累及宮腔面積超過50%或有子宮腔下段及峽部受累者(P>0.05)、年齡（P>0.05）、病理類型（P>0.05）均無相關(guān);淋巴結(jié)沒有轉(zhuǎn)移患者的生存率明顯高于已有轉(zhuǎn)移的患者(P＜0.0

2、1)。多因素分析顯示淋巴結(jié)轉(zhuǎn)移以及盆腔淋巴清掃術(shù)均不是子宮內(nèi)膜癌獨立的預(yù)后影響因素。結(jié)論病理分化程度低、深肌層浸潤、宮頸浸潤、宮旁或附件浸潤、腹腔沖洗液細胞學(xué)檢查陽性是子宮內(nèi)膜癌盆腔淋巴結(jié)轉(zhuǎn)移的高危因素,有盆腔淋巴結(jié)轉(zhuǎn)移的患者預(yù)后較差?！娟P(guān)鍵詞】子宮內(nèi)膜腫瘤淋巴結(jié)轉(zhuǎn)移預(yù)后Correlationbetweenendometrialcarcinomapelviclymphnodesmetastasesandclinicalpathologiccharacteristicsanditsclinicalsignificance.HUChun-xia,JINSong,LINGYi,etal.

3、(AffiliatedHospitalofHainanMedicalCollege,Haikou570102,Hainan,P.R.China)Abstract：ObjectiveToanalyzethefactorsassociatedwithpelviccavitylymphnodemetastasesinendometrialcarcinomaandclinicalpathologiccharacteristicsanditsclinicalsignificanceandprognosisafterpelviclymphadenectemy.MethodsSurgicaltr

4、eatment,clinicalpathologicalcriteriasandprognosisof71casesofendometrialcarcinomaindifferentstageswerestudiedretrospectively.Results1.Amongthe71endometrialcarcinomacasesthelymphnodemetastasesweresignificantlyassocaitedwiththepathologicalclassification(P<0.05),infiltrationdepthofmuscularlayer（P＜

5、0.01),cervicalinvasion(P<0.01),presentofcarcinomacellsinpelvicwashingfluid(P<0.01)andinvasionofparacervicalligmentsoraffiliates(P<0.01),butnotrelatedwiththepatients’ageandpathologictypeandtheinvasionlesiontotheuterinecavity>50%orcavitaryuteriinferiorsegmentandisthmusuteriinfiltration.2.T

6、hesurvivalratewassignificantlyhigherinthepatientswithoutlymphnodemetastasesthanthosewithlymphnodemetastases(P<0.01),multifactoranalysisshowedthatneitherlymphnodemetastasesnorpelviclymphadenectemywasanindependentfactorthatinfluencedtheprognosis.ConclusionLowpathologicclassification,deepinfiltra

7、tionofmuscularlayer,cervixinvasion,paracervicalligmentsoraffiliates,positivecellfindinginpelvicwashingfluidarehighriskfactorsassoicatedwithpelviclymphnodemetastasesofendometrialcarcinoma.Theprognosisofpatientswithpelviclymphnodemetastas