Analysis on Related Factors of Pelvic Lymph Node Metastasis in Patients with Type Ⅰ Endometrial Carcinoma
- VernacularTitle:Ⅰ型子宫内膜癌患者盆腔淋巴结转移危险因素分析
- Author:
Qinghua ZHANG
;
Wensheng XU
;
Xi LAN
- Keywords:
Endometrial carcinoma;
Lymph node metastasis;
Risk factor
- From:
Journal of Practical Obstetrics and Gynecology
2017;33(8):603-605
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the high risk factors of pelvic lymph node metastasis in patients with type Ⅰ endometrial carcinoma in order to provide the basis for making reasonable operation scope.Methods:Risk factors of pelvic lymph node metastasis were analyzed in 136 cases of type Ⅰ endometrial carcinoma.Univariate analysis was performed with Chi square test or Fisher's exact probability method,and multivariate analysis was performed with a logistic regression mode.Results:The positive rate of pelvic lymph nodes in 136 patients with type Ⅰ endometrial carcinoma was 9.56％ (13/136).Univariate analysis showed that histological grade,size of lesion,depth of myometrial invasion and vascular invasion were related to lymph node metastasis(P ＜0.05);Multivariate Logistic analysis showed that low differentiation,deep muscular invasion,tumor diameter≥2 cm and LVSI were independent risk factors of pelvic lymph node metastasis in patients with type Ⅰ endometrial carcinoma(P ＜0.05).Conclusions:The rate of pelvic lymph node metastasis is low in type Ⅰ endometrial carcinoma.Patients with low differentiation,deep muscular invasion,tumor diameter≥2 cm and LVSI are more likely to occur pelvic lymph node metastasis in type Ⅰ endometrial carcinoma.
