Matsukuma K, Tsukamoto N, Jo S, Imachi M, Kamura T, Matsuyama T, Nakano H
Dept. of Gynene & Obstet., Kyushu Univ. Faculty of Med.
Gan No Rinsho. 1989 Jan;35(2):275-9.
From 1981, through 1985, 90 patients with primary or recurrent gynecologic malignancies underwent a scalene lymph nodes (SLN) biopsy. Pelvic lymph nodes (PN) and paraaortic lymph nodes (PAN) also were examined for metastasis with CT, lymphography, and palpation or were biopsied after a laparotomy. Twenty-three of these 90 patients (25.6%) were found to have positive SLN. In 5 of these 23 (21.7%), their SLN had not been palpable on physical examination. All signs of PN, PAN and SLN were examined in 42 patients. Twenty-one of these 42 (50%) had positive PN, 14 (66.7%) had positive PAN, and 4 (28.6%) had positive SLN. Seven patients with negative PAN had no SLN metastasis. Of twenty-one patients with negative PN, 2 had positive PAN and none had an SLN metastasis. Thus, it has been concluded that an evaluation of SLN is important for the management of a gynecologic malignancy in patients with positive PAN.
从1981年到1985年，90例原发性或复发性妇科恶性肿瘤患者接受了斜角肌淋巴结（SLN）活检。还通过CT、淋巴管造影和触诊检查盆腔淋巴结（PN）和腹主动脉旁淋巴结（PAN）是否转移，或在剖腹手术后进行活检。这90例患者中有23例（25.6%）被发现SLN阳性。在这23例中的5例（21.7%）中，其SLN在体格检查时无法触及。对42例患者的PN、PAN和SLN的所有体征进行了检查。这42例中的21例（50%）PN阳性，14例（66.7%）PAN阳性，4例（28.6%）SLN阳性。7例PAN阴性的患者没有SLN转移。在21例PN阴性的患者中，2例PAN阳性，无一例有SLN转移。因此，得出结论，对于PAN阳性的妇科恶性肿瘤患者，评估SLN对其治疗很重要。
