Ⅰ期子宫内膜癌腹膜后淋巴结清除术的探讨

目的 探讨Ⅰ期子宫内膜癌的淋巴结转移率及行腹膜后淋巴结清除术的意义。方法 对３８例临床Ⅰ期子宫内膜癌临床、病理及随访资料呃生研究，对照分析经行腹膜后淋巴清除术后，未淋巴转移者２２例，ＦＩＧＯＩ期（Ａ组），有淋巴结转移者６例，ＦＩＧＯ升级为ⅢＣ期（Ｂ组）及术行腹膜后淋巴清除扔１０例（Ｃ组）结果 经腹膜后淋巴清除术的患者中２１．４％有腹膜后淋巴结转移，因此期别应上升为ⅢＣ期，且腹膜后淋巴结转移与肿瘤细

The Resection of Retroperitoneal Pelvic and Para-aortic Lymph nodes in Stage I Endometrial Carcinoma

Objective To evaluate the incidence of lymph node metastasis and significance of lymphadenectomy in stage I endometrial cancinoma. Metholds 38 patients with stage I endometrial carcinoma were divided into 3 groups and retrospectively analysed.22 patients by lymphadenectomy were allotted to stage I endometrial carcinoma according to FIGO(group A).6 patients were upstaged following lymphadenectomy(groug B).And 10 patients were staged without lymphadenectomy(group C). Results 214%(6/28)of patients were found to have retroperitoneal metastasis and therefore were upstaged as stage c by lymphadenectomy.Metastases were directily related to the differentiation of the tumor,depth of myometrial invasion.During the 302 months follow-up period,tumor-free survival rates in group A and B were both 100%(22/22 and 6/6 respectively),In group C,there were 2 recurrent patients and died of the diseases.The tumor-free survival rate was 80%(8/10).There was a significant difference in tumor-free survival rate between group B and C. Conclusions Retroperitoneal lymphadenectomy should be performed in all patients with stage I endometrial carcinoma.