淋巴管造影在前列腺癌分期中的作用

• 作 者: 刘定益 王健 王名伟 张羽中宇 夏维木 唐崎 顾炯 周燕峰 祝宇 吴瑜璇 周文龙
• 机 构: 上海浦南医院泌尿外科,上海交通大学瑞金医院泌尿外科,
• 出 处: 中国现代医学杂志
• 发表日期: 2009年07期
• 关键词: 前列腺癌 前列腺肿瘤 高危前列腺癌 淋巴管造影 盆腔淋巴结 淋巴结活检 淋巴结病理 Gleason 双足背 细胞学检查诊断

目的评价淋巴管造影和细针抽吸细胞学检查在前列腺癌临床分期中的作用。方法对89例前列腺癌行双足背淋巴管造影,其中76例行耻骨后前列腺癌根治术、9例膀胱造瘘及淋巴结活检后行双侧睾丸切除,4例行双侧睾丸切除。淋巴管造影结果与淋巴结病理进行比较。结果淋巴管造影显示淋巴结转移8例,无假阳性结果,5例为假阴性(5.6%)。结论淋巴管造影加细针抽吸细胞学检查诊断盆腔淋巴结转移无假阳性结果,但有一定的假阴性。该项技术更适合高危前列腺癌患者的临床分期。

Objective To evaluate the role of lymphangiography and fine needle aspiration cytology in the clinical staging of prostate cancer. Methods Eighty-two cases of prostate cancer underwent lymphangiography, 76 underwent radical prostatectomy, 9 underwent cystostomy and lymph node biopsy, and 4 underwent bilateral orchiectomy. Lymphangiography results were compared with lymph node pathology. Results Lymphangiography showed lymph node metastasis in 8 cases without false positive results and 5 cases with false negative results (5.6%). Conclusion lymphangiography plus fine needle aspiration cytology diagnosis of pelvic lymph node metastasis without false positive results, but there is a certain false negative. The technology is more suitable for high-risk patients with prostate cancer clinical stage.