Wu P C, Qu J Y, Lang J H, Huang R L, Tang M Y, Lian L J
Am J Obstet Gynecol. 1986 Nov;155(5):1103-8. doi: 10.1016/0002-9378(86)90359-5.
Retroperitoneal lymph node dissection was performed in 74 cases of various types of ovarian malignancies. Fifty-three (71.6%) were histologically confirmed as cancer of epithelial origin and 19 (25.7%) as germ cell tumors. The results indicate that lymphatic metastasis is an exceedingly important route of spreading of this group of malignant diseases. The overall incidence of retroperitoneal positive nodes was 56.8% (42/74). In 49 cases undergoing systemic lymphadenectomy 32 were found to have glandular involvement, of which both aortic and pelvic nodes were positive in 17 cases (53.1%), aortic nodes positive but pelvic negative in six (18.8%), and pelvic nodes positive but aortic negative in nine (28.1%). In 32 cases with primary cancer that originated from the left ovary, 17 (53.1%) were found to have positive pelvic nodes, whereas in 19 cases with cancer arising from the right ovary, only one (5.3%) had metastasis of ipsilateral pelvic nodes. The routes of lymphatic spreading and the significance of lymphadenectomy in ovarian cancer are discussed.
对74例不同类型的卵巢恶性肿瘤患者进行了腹膜后淋巴结清扫术。其中53例（71.6%）经组织学确诊为上皮源性癌，19例（25.7%）为生殖细胞肿瘤。结果表明，淋巴转移是这类恶性疾病极为重要的传播途径。腹膜后阳性淋巴结的总体发生率为56.8%（42/74）。在49例行系统性淋巴结切除术的患者中，32例发现有淋巴结受累，其中主动脉旁和盆腔淋巴结均阳性的有17例（53.1%），主动脉旁淋巴结阳性但盆腔淋巴结阴性的有6例（18.8%），盆腔淋巴结阳性但主动脉旁淋巴结阴性的有9例（28.1%）。在32例原发癌起源于左卵巢的患者中，17例（53.1%）发现盆腔淋巴结阳性，而在19例起源于右卵巢的癌患者中，只有1例（5.3%）出现同侧盆腔淋巴结转移。本文讨论了卵巢癌的淋巴转移途径及淋巴结清扫术的意义。
