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下肢淋巴在子宫内膜癌的手术分期后:目前的见解和未来的方向

Giuseppe Cucinella¹, Mariano Catello Di Donna¹, Jvan Casarin²

¹Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90133 Palermo, Italy; Gynecology Oncology Unit, Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale", Naples, Italy.

Taiwanese journal of obstetrics & gynecology

|July 14, 2024

概括

在子宫内膜癌手术后下肢淋巴 (LEL) 是常见的,显著影响生活质量. 与系统性淋巴结切除术相比,哨兵淋巴结活检减少了LEL发生率.

科学领域:

妇科瘤学妇科瘤学
手术瘤学手术瘤学
淋巴 edem 研究研究淋巴 edem 研究

背景情况:

下肢淋巴 (LEL) 是子宫内膜癌手术分期后的常见并发症.
这种慢性疾病显著影响患者的发病率和生活质量 (QoL).

研究的目的:

在子宫内膜癌外科分期后审查关于二次LEL的当前文献.
根据淋巴结分期方法,专注于发病率,诊断,风险因素和 QoL 影响.

主要方法:

对LEL在子宫内膜癌分期后进行的研究的系统文献综述.
对淋巴结分期技术 (系统淋巴结切除术与哨兵淋巴结活检) 的数据分析.

主要成果:

由于非标准化的评估方法,LEL发生率差异很大 (0-50%).
系统性盆腔淋巴切除术是主要的危险因素;哨兵淋巴结活检显著减少LEL发生.
LEL与降低的QoL,肢体功能受损,负面的身体形象和增加癌症痛苦有关.

结论:

哨兵淋巴结映射提供了精确的节点评估,降低了发病率,代表了一个理想的方法.
标准化LEL评估和文化适应的结果措施至关重要.
需要进一步的研究来澄清LEL流行,风险因素和管理策略,以改善幸存者的QOL.

关键词:

这是子宫内膜癌的癌症.下肢淋巴发疹下肢淋巴发疹淋巴管切除术是指淋巴管切除术.生活质量生活的质量.哨兵淋巴结活组织检查

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