宫颈癌淋巴结切除适应证和争议

Chinese Journal of Practical Gynecology and Obstetrics(2017)

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Abstract
NCCN和FIGO指南对淋巴结切除适应证做出推荐,但就宫颈癌淋巴结切除仍存在争议点.对于局部晚期宫颈癌行手术分期是安全可行的.前哨淋巴结切除术目前尚不能替代系统性淋巴结切除术.对于ⅠA2~ⅡA2期宫颈癌,建议行腹主动脉旁淋巴结取样术,上界达肠系膜下动脉水平足够.有转移肿大的淋巴结建议手术切除.
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Key words
cervical tumour,lymphadenectomy,indication
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