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Lateral pelvic metastasis and micrometastasis in low rectal cancer
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF SURGERY
- Issue:
- 17
- DOI:
- 10.3760/j.issn:0529-5815.2007.17.003
- Key Word:
- 直肠肿瘤;微转移;生存率
Abstract： 目的 探讨低位直肠癌盆腔侧方淋巴结转移、微转移规律及其对预后的预测价值.方法 运用大组织切片、组织芯片研究67例低位直肠癌手术标本,并分析其随访资料.结果 12例标本检获盆腔侧方淋巴结癌转移,另有10例存在微转移,82.9%的转移淋巴结直径＜5 mm.髂内血管、闭孔、髂内远端内侧分支等处淋巴结受累率较高.侧方转移、微转移病例术后复发多,生存时间短.结论 低位直肠癌存在盆腔侧方转移,各区域受累率不一.侧方转移病例预后差,提示术前/术后辅助治疗的价值.
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