摘要
膀胱癌根治术中淋巴结清扫有助于肿瘤精确分期和患者的生存获益。但目前国际上对于淋巴结清扫范围并没有达成共识。特别是在新辅助/辅助化疗时代,继续扩大淋巴结清扫的范围能否进一步提高局部晚期患者(pT3~4或pN+)的疗效,尚无定论。全文探讨淋巴结清扫领域近年来的观念更新,并且展望未来可能出现在该领域的精准治疗方案。
Lymph node dissection （LND） acted as an integrated part of radical cystectomy is con- tributing to accurate tumor staging and survival benefits for patients. However, there is no univer- sally accepted optimal extent of LND in the worldwide. Especially in the era of neo-adjuvant/ad- juvant chemotherapy,it is controversial that continuous expansion of LND improves curative effect for locally advanced （pT3-4 or pN＋） patients. According to some literatures,we make discussions about currently novel concepts in recent years and emerging precision medicine protocol in field of LND.
出处
《肿瘤学杂志》
CAS
2017年第7期561-566,共6页
Journal of Chinese Oncology
关键词
膀胱肿瘤
淋巴结清扫
膀胱癌根治术
bladder neoplasms
lymph node dissection
radical cystectomy
