Kehoe Siobhan M, Miller David S
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Texas Southwestern, Dallas, Texas, USA.
Clin Obstet Gynecol. 2011 Jun;54(2):235-44. doi: 10.1097/GRF.0b013e318218577b.
The role of lymphadenectomy in the management of endometrial cancer is rapidly evolving. Although retrospective reports have suggested that lymphadenectomy is associated with a therapeutic benefit, recent prospective trials have questioned the therapeutic effect of lymphadenectomy. Lymphadenectomy remains the gold standard for detecting metastatic disease to the regional nodes. In this review, we discuss the controversies surrounding lymphadenectomy for endometrial cancer.
淋巴结切除术在子宫内膜癌治疗中的作用正在迅速演变。尽管回顾性报告表明淋巴结切除术具有治疗益处,但最近的前瞻性试验对淋巴结切除术的治疗效果提出了质疑。淋巴结切除术仍然是检测区域淋巴结转移疾病的金标准。在本综述中,我们讨论了围绕子宫内膜癌淋巴结切除术的争议。