宫颈癌盆腔淋巴结转移相关因素分析

目的:探讨宫颈癌盆腔淋巴结转移相关因素。方法:回顾性分析634例广泛性子宫切除及盆腔淋巴结清扫术后宫颈癌患者的临床分期及病理资料。结果:盆腔淋巴结总转移率为18.76%(119/634),年龄、临床分期、肿瘤浸润深度、肿瘤生长形态、肿瘤细胞分化程度与淋巴结转移显著相关。病理类型、病灶大小、术前放化疗与淋巴结转移无相关性。结论:年龄≤35岁,临床分期晚,肿瘤浸润≥1/2,溃疡型肿瘤,病理分化差均为宫颈癌淋巴转移高危因素。

Risk factor of node metastasis in cervical carcinoma

Objective:To investigate the metastatic risk factors of pelvic lymph nodes in patients with cervical carcinoma.Methods:The clinical and pathological information of 634 patients with cervical carcinoma after radical hysterectomy with pelvic lymphadenectomy were retrospectively analysed.Results:The lymph nodes metastasis rate was 18.76%(119/634),age,clinical stage,pathological grade,myometrial invation,tumor growth type and histologial classification were closely related to the metastasis of lymph nodes.No significant difference was found between squamous cell carcinoma and adenocarcinoma,the size of tumor,preoperative chemotherapy and radiotherapy.Nore not related with node metastasis.Conclusion:Age ≤35,late stage,myometrial invation ≥1/2,ulcerative type,worse in pathological grade are all the risk factors of lymph node metastasis in cervical carcinoma.