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原发性卵巢恶性肿瘤腹膜后淋巴结转移

LYMPH NODE METASTASIS OF PRIMARY OVARIAN CANCER

  • 摘要: 1986至1990年,我院为44例各种类型恶性卵巢肿瘤作后腹膜淋巴结切除。30例(68.81%)为上皮性,8例(18.18%)为生殖细胞肿瘤。结果表示淋巴转移是恶性卵巢肿瘤的一条非常重要的转移途径。总的后腹膜淋巴结转移率是38.6%(17/44)。Ⅲ期56.25%、Ⅱ期20%、Ⅰ期5.8%。淋巴结切除44例中,17例有转移,其中主动脉旁和盆腔淋巴结阳性者5例,主动脉旁淋巴结阳性但盆腔淋巴结阴性3例,盆腔淋巴结阳性而主动脉旁淋巴结阴性9例。淋巴转移途径与淋巴结切除意义进行了讨论。

     

    Abstract: From 1986 to 1990, retfroperitoneal lymph node dissection was periormed at our Hospital in 44 cases of various types of Ovarian malignancies, thirty (68.18%) were histologically confirmed as cancer of epithelial origin and eight (18.18%) as germ celt tumors, The results indicated that lymphafic metastasis was an exceedingly important route spreading 44 cases under went systemic lymphad-enectomy, 17 were found to have giomdular imvolvement, of which both aortic and Pelvic nodes were posivive was 5 cases, aortic nodes positive but Pelvic negative 3, and Pelvic nodes positive but aortic negative 9. The routes of lymphatic spreading and the significance of lymphadenectomy in Ovarin cancer are discussed.

     

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