摘要
目的:探讨ⅠB～ⅡB期宫颈癌髂总淋巴结转移的危险因素及其治疗。方法:回顾性分析首次确诊并行手术治疗的652例ⅠB～ⅡB期宫颈癌患者的临床病理资料及45例髂总淋巴结阳性宫颈癌的治疗结果。结果:652例宫颈癌患者中,45例(6.90%)发生髂总淋巴结转移。单因素分析显示,临床期别、盆腔淋巴结阳性组数(除髂总淋巴结外)、肌层浸润、脉管瘤栓与髂总淋巴结转移有关,但lonistic回归法分析结果显示,宫颈癌髂总淋巴结转移的独立危险因素为临床期别、盆腔淋巴结阳性组数(除髂总淋巴结外)。结论:临床期别、盆腔淋巴阳性组数(除髂总淋巴结外)为宫颈癌髂总淋巴结转移的独立危险因素。髂总淋巴结阳性宫颈癌的治疗值得进一步探讨。
OBJECTIVE：To study the risk factors for common iliac lymph node metastasis in patients with cervical carcinoma in stage ⅠB-ⅡB and the treatment in patients with positive common iliac lymph node. METHODS： The pathological and clinical features and treatment of cervical carcinoma patients were retrospectively reviewed and analyzed. RESULTS：Of the 652 cases reviewed, 45 （6.90%） had positive common iliac lymph node. Single factor analysis showed that clinical stage, number of pelvic lymph node metastasis group （excluding common iliac lymph node）, deep cervical stromal invation, lymph-vascular space invasion were associated with common iliac lymph node metastasis. Factors predictive of common iliac lymph node metastasis on logistic forward regression were clinical stage and number of pelvic lymph node metastasis group （excluding common iliac lymph node）. CONCLUSIONS： Clinical stage and Number of pelvic lymph node metastasis group （excluding common iliac lymph node） are the independent predictive factors for common iliac lymph metastasis of cervical carcinoma. The treatment of cervical carcinoma patients with positive common iliac lymph node is worth of further study.
出处
《中华肿瘤防治杂志》
CAS
2007年第14期1097-1099,共3页
Chinese Journal of Cancer Prevention and Treatment
关键词
存活率
宫颈肿瘤/病理学
淋巴转移
危险因素
survival tate
cervix neoplasms/pathology
lymphatic metastasis
risk factors
