前哨淋巴结检测术在宫颈癌诊疗中的研究进展

Advances in sentinel lymph node detection to cervical cancer

宫颈癌在女性生殖器官肿瘤中发病率最高，淋巴结转移是其最主要的转移方式，前哨淋巴结是在原发肿瘤淋巴引流区域内，淋巴结发生转移必经的首站淋巴结，前哨淋巴检测术具有操作简单、检出率高、阴性预测值高等特点，其方法、病理学检查、影像因素对指导早期宫颈癌的根治性切除术，减少手术创伤、淋巴结微转移和制定合理的放疗计划等的研究具有重要意义。

It is the highest disease rate of cervical cancer in genital organs tumor, and the main transferred way of cervical cancer is lymphatic metabasis. The sentinel lymph node is the first node draining the lymphatic flow from a primary tumor. It has been proposed that the features of simple operation, high detection rate and the high value of negative prediction about the sentinel lymph node detection. The advances in sentinel lymph node detection about concept, methods, histopathology and influencing factors have been overviewed to guide radical hysterectomy with pelvic, reducing wound of operation and pelvic lymph nodes metastasis and the institution of reasonable radiotherapy plan have the important meaning.