宫颈微小浸润癌行子宫全切术后淋巴转移2例报告并文献复习

Lymph node metastasis of cervical microinvasive carcinoma after total hysterectomy:A report of 2 cases and review of the literature

目的提高对宫颈微小浸润癌(Microinvasive Carcinoma of Cervix,MIC)诊断及治疗的认识。方法对2例宫颈微小浸润癌发生盆腔淋巴结转移的诊断及治疗中临床及病理资料进行回顾性分析,并进行文献复习。结果只有通过锥切取得完整而足够的标本,才能基于浸润深度和宽度做出宫颈微小浸润癌MIC的诊断;宫颈微小浸润癌Ⅰa1期行全子宫切除后仍有部分患者出现早期盆腔淋巴结转移。结论宫颈微小浸润癌行全子宫切除术后的患者仍需严密随访,以尽早发现淋巴转移和复发。

Objective To study the diagnosis and treatment of cervical mcroinvasive carcinoma（MIC）.Methods Clinical data about two patients with lymph node metastasis of cervical MIC were retrospectively analyzed and its related literature was reviewed.Results Samples were taken from the patients with lymph node metastasis of cervical MIC by cervical conization.Cervical MIC was diagnosed according to its invasive depth and width.Early pelvic lymph node metastasis of cervical MIC was found in some of the patients after total hysterectomy.Conclusion Patients with cervical MIC after total hysterectomy should be closely followed up in order to find its early lymph node metastasis and recurrence.