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晚期宫颈癌浸润癌患者腹主动脉旁淋巴结转移的发生率、意义及随访情况

Incidence, significance, and follow-up of para-aortic lymph node metastases in late invasive carcinoma of the cervix.

作者信息

Nelson J H, Boyce J, Macasaet M, Lu T, Bohorquez J F, Nicastri A D, Fruchter R

出版信息

Am J Obstet Gynecol. 1977 Jun 1;128(3):336-40. doi: 10.1016/0002-9378(77)90633-0.

DOI:10.1016/0002-9378(77)90633-0
PMID:860741
Abstract

One hundred and four patients with Stages II and III of cervical carcinoma underwent para-aortic node biopsies. Of these, 12.5 per cent of patients with Stage IIA, 14.9 per cent of patients with Stage IIB, and 38.4 per cent of patients with Stage III carcinoma of the cervix had positive para-aortic nodes. They subsequently recieve 6,000 rads to the para-aortic area. The radiotherapy complication rate was high. Within four years, 50 per cent of the patients with positive para-aortic nodes had other distant metastases. The two- and four-year follow-up is presented. Only one of 13 patients with positive para-aortic nodes was alive at the end of four years.

摘要

104例II期和III期宫颈癌患者接受了腹主动脉旁淋巴结活检。其中,IIA期患者中有12.5%、IIB期患者中有14.9%以及III期宫颈癌患者中有38.4%的腹主动脉旁淋巴结呈阳性。这些患者随后接受了6000拉德的腹主动脉旁区域放疗。放疗并发症发生率很高。在四年内,腹主动脉旁淋巴结阳性的患者中有50%出现了其他远处转移。本文给出了两年和四年的随访情况。13例腹主动脉旁淋巴结阳性的患者中,只有1例在四年后仍然存活。

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