Bernardini Marcus Q, Murphy Joan K
Division of Gynaecologic Oncology, University Health Network, Toronto, ON, Canada.
J Surg Oncol. 2009 Mar 15;99(4):232-41. doi: 10.1002/jso.21200.
The development of surgical staging in the management of endometrial cancer has arisen over the last several decades with anticipated benefits including prognostic information, tailoring of adjuvant treatment, and a possible therapeutic effect. This review addresses the important issues surrounding lymphadenectomy in endometrial cancer. Other issues including the use of sentinel lymph node techniques, advanced imaging modalities and the consideration of a binary grading system to simplify triaging of patients will also be discussed.
在过去几十年中,子宫内膜癌治疗中手术分期的发展应运而生,预期益处包括提供预后信息、调整辅助治疗方案以及可能产生治疗效果。本综述探讨了子宫内膜癌淋巴结切除术相关的重要问题。还将讨论其他问题,包括前哨淋巴结技术的应用、先进的成像模式以及考虑采用二元分级系统以简化患者分类。