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Sentinel lymph nodes detection in patients with cervical cancer undergoing radical hysterectomy
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OBSTETRICS AND GYNECOLOGY
- Issue:
- 1
- DOI:
- 10.3760/j.issn:0529-567X.2004.01.004
- Key Word:
- 宫颈癌;前哨淋巴结活组织检查;淋巴结切除术
Abstract： 目的探索子宫颈癌根治术中淋巴显影和前哨淋巴结识别的方法及其可行性,评价前哨淋巴结预测盆腔淋巴结有无肿瘤转移的准确性.方法应用染料法对20例宫颈癌患者(临床分期为Ⅰb期3例、Ⅱa期12例、Ⅱb期5例)在根治术中于宫颈肿瘤周围的正常组织中分4点(3、6、9、12点处)注入美蓝或专利蓝溶液4 ml,识别和定位蓝染的淋巴结(即前哨淋巴结),然后再按常规行盆腔淋巴清扫术,所有淋巴结一起送病理检查.结果 20例宫颈癌患者中淋巴管有蓝色染料摄取者18例,共有蓝染淋巴结33枚,其中左侧15枚,右侧18枚,前哨淋巴结识别成功14例,识别率为78%(14/18).共有6例有淋巴结转移,淋巴结转移率为33%(6/18).成功识别前哨淋巴结的14例中,淋巴结转移5例,其中前哨淋巴结和盆腔淋巴结均转移者2例,仅有前哨淋巴结转移者3例,准确性为100%,假阴性率为0.结论宫颈癌根治术中淋巴显影和前哨淋巴结识别技术是可行的,但识别率尚有待提高.
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