Bonnier P, Piana L
Service de Gynécologie et Obstétrique A, Hôpital de la Conception, Marseille.
Ann Chir. 1991;45(6):450-3; discussion 454-5.
Systematic lumbo-aortic lymphadenectomy has revealed the importance of lymphatic dissemination of ovarian cancers: the incidence of lumbo-aortic metastases reported in the literature is high (15 to 25% of so-called early stages, false stage I and II). An exact staging assessment is an essential prognostic factor; underestimation of apparently early stages leads to insufficient treatment, reducing the long-term survival rate. The correlation with intraperitoneal extension, the degree of differentiation and the histological type is only partial. Retroperitoneal lymph node invasion has a prognostic significance at each stage. Lastly, lumbo-aortic lymphadenectomy appears to provide a specific therapeutic benefit as part of maximal tumour reduction surgery.
文献报道的腰主动脉旁转移发生率很高（在所谓的早期、假I期和II期中占15%至25%）。准确的分期评估准确是一项重要的预后因素；对明显早期阶段的低估会导致治疗不足，降低长期生存率。与腹膜内播散、分化程度和组织学类型的相关性只是部分相关。腹膜后淋巴结侵犯在每个阶段都具有预后意义。最后，腰主动脉旁淋巴结清扫术作为最大程度肿瘤减灭术的一部分，似乎具有特定的治疗益处。
