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[子宫颈癌的淋巴源性转移及 Wertheim 手术中盆腔淋巴结清扫范围的最佳方法选择]

[Lymphogenic metastasis of cervical cancer and selection of the optimal method of extent of pelvic lymphadenectomy in Wertheim's operation].

作者信息

Vishnevskaia E E

出版信息

Vopr Onkol. 1977;23(6):37-41.

PMID:919406
Abstract

The frequency and sequence of metastatic invasion of pelvic and retroperitoneal lymph nodes in patients with cervical cancer have been studied. It was found that inferior and superior ileac lymph nodes in this category of patients are the main zone of regional metastasization. These should be included in a block of tissue to be resected in Wertheim's operation. The rationale of an extened variant of lymphadenectomy is supported by the data that characterize the immediate, early and remote results of the treatment in patients with cervical cancer and lymphogenic metastases. A high percentage of 3-year survival was gained in patients operated after an extended variant of Wertheim's operation.

摘要

对宫颈癌患者盆腔和腹膜后淋巴结转移侵袭的频率和顺序进行了研究。发现这类患者的髂下和髂上淋巴结是区域转移的主要区域。在韦特海姆手术中,这些淋巴结应包含在切除的组织块中。淋巴结清扫术扩展术式的理论依据得到了有关宫颈癌和淋巴源性转移患者治疗的近期、早期和远期结果数据的支持。接受韦特海姆手术扩展术式治疗的患者3年生存率较高。

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