Location of aortic node metastases in locally advanced cervical cancer
Location of aortic node metastases in locally advanced cervical cancer
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DOI：
10.1016/j.ygyno.2012.02.008
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发表时间：
2012-05-01
影响因子：
4.7
通讯作者：
Xercavins, J.
中科院分区：
文献类型：
--
作者：
Gil-Moreno, A.;Magrina, J. F.;Xercavins, J.
背景。评估接受腹膜外主动脉淋巴结切除术的局部晚期宫颈癌患者主动脉淋巴结转移的位置，以确定主动脉淋巴结切除的范围。材料和方法。 2001年8月至2010年12月期间，连续100名原发性局部晚期宫颈癌患者接受了腹膜外腹腔镜主动脉和髂总淋巴结切除术。记录主动脉淋巴结转移的位置、肠内或肾下。结果。切除的主动脉节点的平均数量+/-标准差（SD）为15.9+/-7.8（范围4-62）。肠内（包括髂总）淋巴结切除的平均数+/- SD 为8.8 +/- 4.5（范围2-41），肾下淋巴结切除的平均数+/- SD 为7.8 +/- 4.1（范围2-21）。 16例患者主动脉淋巴结阳性，其中5例（31.2%）仅累及肾下淋巴结，肠内淋巴结阴性。结论。约三分之一的局部晚期宫颈癌和主动脉转移患者的肠下主动脉淋巴结呈阴性，而肾下淋巴结呈阳性。 (C) 2012 Elsevier Inc. 保留所有权利。
Background. To assess the location of aortic node metastasis in patients with locally advanced cervical cancer undergoing extraperitoneal aortic lymphadenectomy to define the extent of the aortic lymphadenectomy.Material and methods. Between August 2001 and December 2010, 100 consecutive patients with primary locally advanced cervical cancer underwent extraperitoneal laparoscopic aortic and common iliac lymphadenectomy. The location of aortic node metastases, inframesenteric or infrarenal was noted.Results. The mean number +/- standard deviation (SD) of aortic nodes removed was 15.9 +/- 7.8 (range 4-62). The mean number +/- SD of inframesenteric (including common iliac) nodes removed was 8.8 +/- 4.5 (range 2-41) and the mean number +/- SD of infrarenal nodes removed was 7.8 +/- 4.1 (range 2-21). Positive aortic nodes were observed in 16 patients, and in 5 (31.2%) of them the infrarenal nodes were the only nodes involved, with negative inframesenteric nodes.Conclusion. Inframesenteric aortic nodes are negative in the presence of positive infrarenal nodes in about one third of patients with locally advanced cervical cancer and aortic metastases. (C) 2012 Elsevier Inc. All rights reserved.