D_1期前列腺癌的诊断

Staging pelvic lymphadenectomy for carcinoma of the prostate

１９９０年１２月至１９９３年１２月，我们对临床Ａ～Ｃ期２７例病人进行盆腔淋巴结活检术，检出１２例Ｄ１期病人。临床Ａ期有５０％，Ｂ期有３７％，Ｃ期有７１％的病人发现盆腔淋巴结癌转移，其癌细胞的恶性程度也与淋巴结癌转移有关，近年，经腹腔镜盆腔淋巴结活检已成为诊断Ｄ１期前列腺癌的新方法。

Prospective pathological staging by pelvic lymphadenectomy in 27 patients with clinically localized carcinoma of prostate disclosed a high incidence(44 %)of clinically silent and unsuspected lymph node metastases. The incidence of positive nodes was 50% in patients with clinical stage A disease,37%in stage B and 71% in stage C. Laparoscopic resection of pelvic lymph nodes is a good way of operation. It may greatly reduce the distress of the patients.