Delgado G, Chun B, Caglar H, Bepko F
Obstet Gynecol. 1977 Oct;50(4):418-23.
Eighty-six patients with pelvic malignancies had paraaortic node dissection; 30% had positive paraaortic lymph nodes. At the time of laparotomy, 77 patients had malignancies apparently confined to the pelvis after extensive work-up and histologic examination of tissue biopsies outside the pelvis; 20 (26%) had metastatic cancer in the paraaortic lymph nodes. Thirteen of 49 patients with cancer of the cervix, 5 of 18 with uterine cancer, and 2 of 10 with ovarian cancer had positive paraaortic lymph nodes. The value of paraaortic dissection in patients with pelvic malignancies apparently confined to the pelvis is discussed.
86例盆腔恶性肿瘤患者接受了腹主动脉旁淋巴结清扫术；30%的患者腹主动脉旁淋巴结呈阳性。在剖腹手术时，77例患者经广泛检查及盆腔外组织活检的组织学检查后，恶性肿瘤显然局限于盆腔；20例（26%）患者腹主动脉旁淋巴结有转移癌。49例宫颈癌患者中有13例、18例子宫癌患者中有5例、10例卵巢癌患者中有2例腹主动脉旁淋巴结呈阳性。本文讨论了腹主动脉旁淋巴结清扫术对恶性肿瘤显然局限于盆腔的患者的价值。
