Abstract:

Cervical cancer is a common gynecologic malignant tumor. Surgical treatment is an important treatment for early stage cervical cancer. Whether having lymph node metastasis is of great significance to the assessment of the prognosis of cervical cancer and the choice of treatment options. Preoperative assessment of lymph node metastasis based on identified related risk factors and imaging findings is helpful to the formulation of surgical strategies. In recent years, sentinel lymph node biopsy has been recommended for surgical treatment of patients with early stage cervical cancer due to its safety and feasibility. Patients with cervical cancer can selectively undergo sentinel lymph node biopsy, systematic lymph node resection, or para-aortic lymph node resection based on their preoperative lymph node assessment. According to intraoperative diagnosis of the degree of lymph node involvement, the extent of surgical resection can be determined. So the assessment of lymphatic metastasis, especially the formulation of surgical strategieswere of great significance in the treatment of cervical cancer.

Key words: Uterine cervical neoplasms, Lymph node assessment, Sentinel lymph node, Sentinel lymph node biopsy, Surgical strategy

摘要：

宫颈癌是妇科常见的恶性肿瘤之一。手术治疗是早期宫颈癌的重要治疗方式。宫颈癌患者是否存在淋巴结转移对评估宫颈癌预后及治疗方案的选择具有重要的意义，而术前根据淋巴结转移的相关危险因素及影像学检查结果评估淋巴结转移的情况，有助于临床制订手术策略。近年来，前哨淋巴结活检术因其安全性及可行性已被推荐应用于早期宫颈癌患者的手术治疗，可根据宫颈癌患者术前淋巴结评估情况选择性地进行前哨淋巴结活检、系统性淋巴结切除及腹主动脉旁淋巴结切除，根据术中淋巴结转移情况可制订相应的手术切除范围。因此，宫颈癌淋巴结的评估尤其是手术策略的制订在宫颈癌治疗中具有重要的意义。

关键词: 宫颈肿瘤, 淋巴结评估, 前哨淋巴结, 前哨淋巴结活组织检查, 手术策略