Effect of pelvic lymphadenectomy on prognosis of endometrial carcinoma
- VernacularTitle:盆腔淋巴清扫术对子宫内膜癌预后的影响
- Author:
Hongwu WEN
;
Lidun ZHANG
- Publication Type:Journal Article
- Keywords:
Endometrial neoplasms;
Lymphatic metastasis;
Lymph node excision;
Prognosis
- From:
Chinese Journal of Obstetrics and Gynecology
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the associated factors with pelvic lymph node metastasis of endometrial carcinoma and the effect of pelvic lymphadenectomy on prognosis of the disease MethodsTotally 102 patients with endometrial carcinoma who underwent pelvic lymphadenectomy (90 patients) or lymph node biopsy (12 patients) in our hospital from Jan 1981 to Dec 2002 were recruited The relationship between various clinicopathologic factors and pelvic lymph node metastasis was analyzed Prognosis of ninety patients with pelvic lymphadenectomy was compared with 90 patients without pelvic lymphadenectomy (control group) in the same period The 5-year survival was calculated by life table method Results The incidence of pelvic lymph node metastasis increased in patients with low grade(46%),deep myometrium invasion(42%), cervical involvement(44%), positive peritoneal cytology(52%), adenexal metastasis(75%) and distant spread(100%) The 5-year survival was lower in patients with lymph node metastasis (37%) than that without lymph node metastasis (89%, P
