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上皮性卵巢癌是否需做系统性腹膜后淋巴结清扫一直存在争议。对于早期上皮性卵巢癌,尚无证据表明系统性淋巴结清扫可以改善患者的生存,但为了准确分期及指导术后辅助治疗,应做腹膜后淋巴结取样切除术。对于晚期上皮性卵巢癌,切除肿大的转移淋巴结是肿瘤细胞减灭术的一个组成部分,尽管有随机对照研究证实,系统性腹膜后淋巴结清扫术可以改善患者的肿瘤无进展生存期,但是否能真正改善患者的总生存期,仍需进一步研究证实。
Epithelial ovarian cancer is required to do systematic retroperitoneal lymph node dissection has been controversial. For early-stage epithelial ovarian cancer, there is no evidence that systemic lymph node dissection can improve patient survival, but in order to accurately staging and guiding postoperative adjuvant therapy, resection of retroperitoneal lymph nodes should be done. For advanced epithelial ovarian cancer, removal of enlarged metastatic lymph nodes is an integral part of cytoreductive surgery. Although randomized controlled studies have shown that systemic retroperitoneal lymph node dissection can improve tumor progression-free survival in patients, Can really improve the overall survival of patients, still need further study confirmed.