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[前哨淋巴结活检在子宫癌中的价值]

[Value of the sentinel node biopsy in uterine cancers].

作者信息

Barranger E, Fay S, Cortez A, Uzan S, Daraï E

机构信息

Service de gynécologie-obstétrique et médecine de la reproduction, hôpital Tenon, AP-HP, Cancer Est, 4, rue de la Chine, 75020 Paris, France.

出版信息

Gynecol Obstet Fertil. 2004 Sep;32(9):694-702. doi: 10.1016/j.gyobfe.2004.07.001.

Abstract

In cancer research, regional lymph node status is a major prognostic factor and a decision criterion for adjuvant therapy. The sentinel node procedure, which has emerged to reduce morbidity of extensive lymphadenectomy, remains a major step in the surgical management of various cancers. Sentinel node procedure has become a standard technique for the determination of the nodal stage of the disease in patients with melanoma, vulvar cancer and recently in breast cancer. In cervical and endometrial cancers, the sentinel node biopsy is still at the stage of feasibility. In this article, we review the technical aspects, results and clinical implications of sentinel node procedure in cervical and endometrial cancers.

摘要

在癌症研究中,区域淋巴结状态是一个主要的预后因素,也是辅助治疗的决策标准。前哨淋巴结活检技术的出现旨在减少广泛淋巴结清扫术的发病率,它仍然是各种癌症外科治疗的重要步骤。前哨淋巴结活检已成为确定黑色素瘤、外阴癌以及最近乳腺癌患者疾病淋巴结分期的标准技术。在宫颈癌和子宫内膜癌中,前哨淋巴结活检仍处于可行性研究阶段。在本文中,我们回顾了宫颈癌和子宫内膜癌前哨淋巴结活检的技术要点、结果及临床意义。

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