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卵巢癌扩散的主要方式为广泛的腹腔内种植和局部浸润。近10年来淋巴结受累越来越受到重视。卵巢癌腹腔内扩散病灶与淋巴结受累密切相关。1985年FIGO已将淋巴结受累作为卵巢癌的分期依据。为了解整个盆腔淋巴系统受累与其它部位转移的关系,对1980～1993年日本九州大学医院19例卵巢上皮性癌患者进行研究。 均先行手术,术后给予以顺铂为主的化疗。初次手术包括探查腹腔内器官,腹腔细胞学检查,主动脉旁淋巴结活检术,盆腔淋巴结清扫术,全子宫、双附件、大网膜及阑尾切除术。如肿瘤累及较广时,行最大限度肿瘤细胞减灭术。患者的临床分期据术中腹腔内探查结果确定,但不包括腹膜后淋巴结病理诊断。
The main ways for the spread of ovarian cancer are widespread intraperitoneal implantation and local infiltration. Over the past 10 years, lymph node involvement more and more attention. Intraperitoneal spread of ovarian cancer and lymph node involvement are closely related. FIGO 1985 has been involved in lymph node involvement as a staging of ovarian cancer. To understand the relationship between the entire pelvic lymphatic system involvement and the metastasis of other parts, 19 ovarian epithelial cancer patients from Kyushu University Hospital of Japan from 1980 to 1993 were studied. The first surgery, postoperative cisplatin-based chemotherapy. Initial surgery included probing intraperitoneal organs, peritoneal cytology, aortic lymph node biopsy, pelvic lymph node dissection, total uterus, double attachment, omentum and appendectomy. If the tumor is more extensive, the maximum tumor cytoreductive surgery. The clinical stage of the patients was determined by intra-abdominal intra-abdominal exploration, but the diagnosis of retroperitoneal lymph nodes was not included.