17:12,28,Oct,2011 | (217/0/0) | Original

endometrial cancer lymph nodes


Abstract: Objective lymph node metastasis in endometrial cancer. Methods underwent total hysterectomy and pelvic lymph node dissection in 160 cases of endometrial cancer patients, to observe and record the location of the tumor in which the uterine cavity, the depth of myometrial invasion, stage, pathological type, cytological grade and location of lymph nodes removed, the number of total number of positive lymph nodes, and analyzed. Results The tumor was located in the Palace of the bottom of the body, involving the cervical lymph node metastasis rate were 19.2%, 21.2%, 35.9%, external iliac lymph node metastases are the most common. Lesions limited to the Palace at the end, the Ministry of Palace are from the external iliac, obturator lymph node metastasis; involving the cervix by the external iliac, common iliac leaching metastases; former common iliac lymph node metastasis rate was 25%, which is 71.3 %, P <0.01. All aortic lymph node positive and those involving the cervical lymph nodes are common iliac metastasis, and lesions limited to the Palace of the para-aortic lymph node metastasis, only 30% of the common iliac lymph nodes. Tumor myometrial invasion, pathological type and degree of differentiation and pelvic lymph node metastasis. Conclusion The Ministry of Palace of endometrial cancer can be directly transferred to or from the cervical external iliac lymph nodes, cervical involvement are most vulnerable to the sum of the external iliac iliac lymph node metastasis. Cervical lymph node involvement were common iliac aortic lymph node as the sentinel lymph node.
endometrial cancer lymph nodes

Current location: China paper Download Center> Medicine> Clinical> body lymph node metastasis in endometrial cancer and surgery of the scope of
Source: China paper Download Center [07-11-09 14:29:00] Author: Fengfu Zhong Qin Qingzhen Editor: studa20
Key words uterine
Abstract: Objective: To evaluate the lymph node metastasis in endometrial cancer and the extent of surgery. Methods: accept the whole uterus, pelvic lymph node dissection in 180 cases of endometrial cancer, uterine cavity which accurately record the location of tumor, depth of myometrial invasion, stage, pathological type, cytological grade, lymph node resection of the location, number and the number of positive lymph nodes. Analysis of lymph node metastasis and extent of surgery. Results: The house is located in the bottom of Palace Affairs, those involving the cervical lymph node metastasis of endometrial cancer rates were 20%, 21%, 37.7%, external iliac lymph nodes are the most common sites of metastases. Lesions limited to the Palace at the end, the Ministry of Palace are from the external iliac, obturator lymph node metastasis; involving the cervix by the external iliac, common iliac lymph node metastases. The former common iliac lymph node metastasis rate was 25%, whic
h was 70.6%, P <0.01. All aortic lymph node-positive and those involving the cervical lymph nodes were positive common iliac, and lesions limited to the Palace of the para-aortic lymph node metastasis, only 30% of the common iliac lymph nodes. Myometrial invasion, pathological type and cell differentiation and pelvic lymph node metastasis. Conclusion: The Palace is located in the Ministry of cervical cancer can be directly transferred to or from the external iliac lymph nodes, cervical involvement are most vulnerable to the sum of the external iliac iliac lymph node metastasis. Lesions involving the cervical lymph nodes are common iliac aortic lymph node as the sentinel lymph node. Stage â… , G1, endometrial cancer confined to only a hysterectomy can be removed.
Key words: endometrial cancer; lymph node metastasis; surgery
Study on Regularity of Lymph Nodal Metastasis and Surgical Operation Scope on Patients with Endometrial Cancer
Abstract: Objective: To study the way of the nodal distribution and surgical operation in endometrial carcinoma.Method: 180 cases with endometrial cancer treated by hysterectomy and pelvic lymphadenectomy were reviewed and analyzed. Position, invasive degree, staging, pathologic type, cytodifferentiation of carcinoma and dissected lymphnode (LN) were recorded exactly.positions, ways of attacted LN were analyzed with relative actors and surgical operatiom scope.Result: Transmation ratio were 20%, 21%, 37.7% when carcinoma sited in fundus, corpus uteri and cervix was invaded. Iliaca externa LN were invaded most commonly in all cases.Most iliaca extdrna and obturatoria LN were attacted when carcinoma sited in fundus, corpus; iliaca externa, communis LN used to be attacted when cervix was invaded.Transmation ratio of iliaca commumis LN was 25% in the former group, and 70.6% the later, P <0.01. All iliaca communis LN were invaded in which para-aortic lymph node and cervix uteri were damaged, only 30% in thoes corpus uteri carcinoma with para-aortic lymph node transmation.There were significant correlations among invasive degree, pathologic types, cytodifferentiation wieh pelvie LN transmation. Conclusion: It tended to be metastasized to node iliaca externa directlyor by cervix when carcinoma in corpus, but to node iliaca communis andinterna mostly when cervix was invaded. Iliaca communis LN used to be damaged earlier than para-aortic lymph node in patients with cervix was invaded.The cancer of â…  stage, G1, limited at endometrium can go hyste-rectomy only.
Key words: Endometrial neoplasms; Lymph node metastasis; Operation
To analyze the occurrence of endometrial cancer, abdominal lymph node metastasis, of the scope of endometrial cancer surgery. We received total hysterectomy and pelvic lymph node dissection of the 180 cases of endometrial cancer patients were studied, the report is as follows:
1 Data and methods
1.1 Data: In our hospital from January 1995 to October 2004 will be accepted hysterectomy and pelvic lymph node dissection of the 180 cases of endometrial cancer. The average age (58.4 ± 10.6) years. 130 cases of radical hysterectomy, radical hysterectomy second 40 cases, hysterectomy in 10 cases. 28 patients simultaneously para-aortic lymph node dissection. Main symptoms: irregular vaginal bleeding 172 cases (95.5%), of which 132 cases of postmenopausal bleeding; abnormal vaginal discharge 125 patients (70%). Symptoms: increased uterine 132 cases (73.3%); hypertension 66 cases (36.6%); diabetes in 52 cases (28.9%). Histological types: 164 cases of endometrial adenocarcinoma, adenosquamous carcinoma in 7 cases, 5 cases of clear cell carcinoma, papillary carcinoma in 4 cases. At 1998 FIGO surgical staging stage: â…  of 58 cases, â…¡ for 92 cases, â…¢ of 28 cases, â…£ of 2 cases. Pathological grade classification according to FIGO classification: G1 40  , G2 92  , G3 48 cases. Location of the tumor in the uterine cavity: Palace at the bottom of 30 cases, 105 cases of the Ministry of Palace, 45 cases involving the cervix. 105 cases of superficial myometrial invasion, deep myometrial invasion in 75 cases.
1.2 Methods: All cases in which the uterine cavity accurately record the location of tumor, depth of myometrial invasion, stage, pathological type, cytological grade, lymph node resection of the location, number and the number of positive lymph nodes. Analysis of lymph node sites, channels and related factors.
1.3 Statistical analysis: t test, X2 test. Links in the paper for download http://www.studa.net
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