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原发输卵管癌的腹主动脉旁淋巴结切除术。

Para-aortic lymphadenectomy for primary fallopian tube cancer.

机构信息

Department of Obstetrics and Gynecology, University of Kwandong, Cheil General Hospital and Women's Healthcare Center, Seoul, Korea.

出版信息

Int J Gynaecol Obstet. 2011 Jan;112(1):18-20. doi: 10.1016/j.ijgo.2010.07.025.

DOI:10.1016/j.ijgo.2010.07.025

PMID:20887989

Abstract

OBJECTIVE

To investigate the topography of lymph node spread and the need for para-aortic lymphadenectomy in primary fallopian tube cancer (PFTC).

METHODS

Twenty-six women were diagnosed with PFTC at Cheil General Hospital and Women's Healthcare Center, Seoul, Korea, between March 1992 and November 2009. Of the 26 patients, we retrospectively analyzed 15 patients who underwent complete staging surgery, including bilateral pelvic and para-aortic lymphadenectomy.

RESULTS

The median follow-up period was 57.9 months (range, 3-185 months) and the 5-year survival rate was 86.3%. Five (33.3%) patients were diagnosed with FIGO stage I, 1 (6.7%) with stage II, and 9 (60%) with stage III cancer. The median number of lymph nodes removed was 53.8 (range, 18-106 nodes). Four (26.7%) patients had nodal involvement: 2 patients with para-aortic lymph node involvement and 2 patients with both pelvic and para-aortic lymph node involvement. None of the patients was positive for pelvic lymph nodes alone.

CONCLUSION

A comprehensive para-aortic lymphadenectomy was necessary for accurate staging in PFTC.

摘要

目的

探讨原发性输卵管癌（PFTC）淋巴结转移的分布特点和施行腹主动脉旁淋巴结切除术的必要性。

方法

本研究回顾性分析了韩国首尔 Cheil General Hospital 和 Women's Healthcare Center 于 1992 年 3 月至 2009 年 11 月期间收治的 26 例 PFTC 患者的临床资料，其中 15 例行包括双侧盆腔和腹主动脉旁淋巴结清扫术的完整分期手术。

结果

中位随访时间为 57.9 个月（范围 3-185 个月），5 年生存率为 86.3%。5 例（33.3%）患者为FIGO Ⅰ期，1 例（6.7%）为Ⅱ期，9 例（60%）为Ⅲ期。清扫的淋巴结中位数为 53.8 枚（范围 18-106 枚）。4 例（26.7%）患者存在淋巴结转移：2 例为腹主动脉旁淋巴结转移，2 例为盆腔和腹主动脉旁淋巴结均有转移。无一例患者为单纯盆腔淋巴结转移。