国际妇产科学杂志 ›› 2018, Vol. 45 ›› Issue (5): 500-503.

• 综述 • 上一篇    下一篇

子宫内膜癌淋巴结转移的评估与处理的现状

李状,李力   

  1. 530021  南宁,广西医科大学附属肿瘤医院妇瘤科,区域性高发肿瘤早期防治研究教育部重点实验室
  • 收稿日期:2017-11-06 修回日期:2018-05-17 出版日期:2018-10-15 发布日期:2018-10-18
  • 通讯作者: 李力,E-mail:lili@gxmu.edu.cn E-mail:lili@gxmu.edu.cn
  • 基金资助:
    广西科学研究与技术开发计划课题(桂科攻14124004)

The Assessment and Treatment Status of Lymph Node Metastasis in Endometrial Cancer

 LI Zhuang, LI Li   

  1. Department of Gynecologic Oncology, Affiliated Tumor Hospital of Guangxi Medical University, Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor, Ministry of Education, Nanning 530021, China
  • Received:2017-11-06 Revised:2018-05-17 Published:2018-10-15 Online:2018-10-18
  • Contact: LI Li,E-mail:lili@gxmu.edu.cn E-mail:lili@gxmu.edu.cn

摘要: 子宫内膜癌(endometrial carcinoma,EC)是女性常见恶性肿瘤之一,晚期EC的预后较差,淋巴结转移是影响其预后的一个重要因素。早期EC是否行淋巴结清扫仍有争议,可通过影像学检查、肿瘤标记物、前哨淋巴结活检等术前、术中评估淋巴结是否转移,拟定淋巴结清扫方式及范围。淋巴结转移即为晚期EC,治疗方式采取放疗、化疗及激素等综合治疗模式。淋巴结清扫术对EC的预后、分期和术后治疗方案有着重要的意义。EC患者手术治疗应遵循个体化的原则,制定合理的手术方案,决定是否需行淋巴结清扫及清扫范围。现就EC淋巴结转移的评估、治疗现状及预后相关因素进行综述。

关键词: 子宫内膜肿瘤, 淋巴结, 淋巴转移, 淋巴结清扫术, 预后

Abstract: Endometrial carcinoma (EC) is one of the most common women malignant tumors. The prognosis of advanced EC is poor, and lymph node metastasis is an important factor affecting its prognosis. Lymphadenectomy in early EC is still controversial, adopting imaging examination, tumor markers,  sentinel lymph node biopsy to assess whether lymph node metastasis or not, decide lymph node dissection scope. Lymph node metastasis means the advanced EC, the treatment is comprehensive treatment model such as surgery, radiotherapy, chemotherapy and hormone therapy. Lymph node dissection has important implications for the prognosis, staging and postoperative treatment of EC. Surgical treatment of EC patients should follow the principle of individualization, develop a reasonable surgical plan, and determine whether lymph node dissection and its scope should be performed. Our purpose is mainly to focus on the assessment, treatment and prognosis related factors of EC lymph node metastasis for further discussion.

Key words: Endometrial neoplasms, Lymph nodes, Lymphatic metastasis, Lymphadenectomy, Prognosis