Bakkum-Gamez Jamie N
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology Surgery, Mayo Clinic, Rochester, Minnesota.
Clin Obstet Gynecol. 2019 Dec;62(4):749-755. doi: 10.1097/GRF.0000000000000481.
Among nearly all gynecologic cancers, knowing whether the cancer has metastasized to lymph nodes impacts the ultimate management of the cancer. Lymph node status assists in cancer staging, prognostication, guidance of surgical intervention and adjuvant therapy, and removal of positive lymph nodes may be therapeutic in some cancers. Surgical staging through lymph node removal and pathologist assessment is standard of care for most gynecologic cancers. This section reviews the anatomic lymphatic drainage patterns of each gynecologic organ and the evolution and current practice of surgical lymph node assessment along the spectrum of gynecologic cancers.
在几乎所有妇科癌症中，了解癌症是否已转移至淋巴结会影响癌症的最终治疗。淋巴结状态有助于癌症分期、预后评估、指导手术干预和辅助治疗，并且在某些癌症中切除阳性淋巴结可能具有治疗作用。通过切除淋巴结和病理学家评估进行手术分期是大多数妇科癌症的标准治疗方法。本节回顾了每个妇科器官的解剖学淋巴引流模式以及妇科癌症范围内手术淋巴结评估的演变和当前实践。
