Tsukamoto N, Saito T, Matsukuma K, Matsuyama T, Kamura T, Kaku T, Suenaga T
Dept. of Gyne. & Obstet., Kyushu Univ. Faculty of Med.
Gan No Rinsho. 1988 Jan;34(1):57-62.
From 1979 to 1986, 355 patients with cervical cancer underwent paraaortic lymph node (PAN) biopsy before the start of initial treatment. Nineteen of these 355 patients (5.4%) had a positive PAN, and the percentage incidence of positive PAN in each clinical stage was as follow: stage Ib, 2.4%; IIa, 0%; IIb, 3.7%; IIIb, 19.0%; and IV, 20%. Eighteen of these 19 patients also had positive pelvic lymph nodes. Positive PANs were found to be more frequent in cases of an adenocarcinoma than in cases of squamous cancer. The palpation of the PANs seemed to be too insufficient to predict the metastasis. Patients with positive PAN who had received paraaortic irradiation survived longer than those who did not receive such treatment. It is concluded that the evaluation of the PAN is important for the management of a cervical cancer.
1979年至1986年期间，355例宫颈癌患者在初始治疗开始前接受了腹主动脉旁淋巴结（PAN）活检。这355例患者中有19例（5.4%）腹主动脉旁淋巴结阳性，各临床分期腹主动脉旁淋巴结阳性的发生率如下：Ib期，2.4%；IIa期，0%；IIb期，3.7%；IIIb期，19.0%；IV期，20%。这19例患者中有18例盆腔淋巴结也呈阳性。发现腺癌患者的腹主动脉旁淋巴结阳性比鳞状细胞癌患者更常见。对腹主动脉旁淋巴结的触诊似乎不足以预测转移情况。接受腹主动脉旁放疗的腹主动脉旁淋巴结阳性患者比未接受此类治疗的患者存活时间更长。得出的结论是，腹主动脉旁淋巴结评估对宫颈癌的治疗管理很重要。
