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首页> 外文期刊>Surgical Endoscopy >Port site metastasis after laparoscopy for uterine cervical carcinoma.
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Port site metastasis after laparoscopy for uterine cervical carcinoma.

机译:腹腔镜检查后子宫宫颈癌的端口部位转移。

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摘要

Background: Aim of this study was to review cases reported of port-site recurrence (PSR) after laparoscopy for uterine cervical carcinoma. Methods: A Medline computer database search from January 1980 to September 2002. Results: We reported 13 cases published of PSR after laparoscopy for cervical carcinoma. The majority of them were squamous carcinoma (9/13 at least, 69%) and initial staging of disease was Ib (7/13 (54%)). Median of interval between laparoscopy and diagnostic of PSR was 7 months (min 1.5 month, max 48 months). Of 10 cases of laparoscopy with lymphadenectomy, in three cases (30%) nodes were not involved. PSR developed at the port through which tissues was extracted in four cases (30.1%) or another port in five cases (38.5%). At the time of PSR, five patients (38.5%) were free of disease. Conclusions: PSR were reported after laparoscopy for lymphadenenectomy with or without hysterectomy and with or without node involvement. In some cases, umbilical metastases should not be systematicallydiagnosed as PSR and a diagnosis of Sister Mary Joseph's nodule may be discussed.
机译:背景:本研究的目的是回顾腹腔镜检查子宫宫颈癌后发生端口位复发(PSR)的病例。方法:从1980年1月至2002年9月在Medline计算机数据库中进行搜索。结果:我们报告了13例经腹腔镜检查后宫颈癌的PSR病例。其中大多数为鳞癌(至少9/13,占69%),疾病的初始分期为Ib(7/13,占54%)。腹腔镜检查和PSR诊断之间的间隔中位数为7个月(最小1.5个月,最大48个月)。在10例腹腔镜淋巴结清扫术中,有3例(30%)未受累。 PSR在四个组织(30.1%)的组织抽取端口或五个案例(38.5%)的另一个组织端口生成。在进行PSR时,有5名患者(38.5%)没有疾病。结论:在腹腔镜手术后有或没有子宫切除术以及有无淋巴结转移的腹腔镜手术后都有PSR报道。在某些情况下,不应将脐转移作为PSR进行系统诊断,并可能讨论对Mary Joseph Joseph结节的诊断。

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