Buchsbaum H J, Lifshitz S
Surg Gynecol Obstet. 1976 Aug;143(2):246-8.
Considerable controversy exists in the role of scalene lymph node biopsy in the pretreatment assessment of patients with carcinoma of the cervix uteri. Scalene lymph node biopsy was carried out on ten patients having advanced carcinoma of the cervix uteri with documented para-aortic nodal involvement. Metastatic carcinoma was found in the scalene lymph nodes in five of ten patients. These preliminary findings suggest that excision of scalene lymph nodes should be carried out prior to the institution of therapy in all patients with carcinoma of the cervix uteri which is metastatic to the para-aortic lymph nodes.
在子宫颈癌患者的预处理评估中,斜角肌淋巴结活检的作用存在相当大的争议。对10例已证实有主动脉旁淋巴结受累的晚期子宫颈癌患者进行了斜角肌淋巴结活检。10例患者中有5例在斜角肌淋巴结中发现转移性癌。这些初步研究结果表明,对于所有已转移至主动脉旁淋巴结的子宫颈癌患者,应在开始治疗前进行斜角肌淋巴结切除术。