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1. 复旦大学附属肿瘤医院胰腺肝胆外科,复旦大学上海医学院肿瘤学系,上海,200032
2. 中国抗癌协会胰腺癌专业委员会,上海,200032
网络出版:2014-03-07,
纸质出版:2014-03-07
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罗国培,肖志文,刘祖强,郭萌,龙江,刘辰,刘亮,徐近,倪泉兴,虞先濬. 胰腺癌淋巴转移诊治进展与处理规范[J]. 中国癌症杂志, 2014, 24(2): 81-86.
罗国培, 肖志文, 刘祖强, et al. Standard in the clinical management of the lymph metastasis in pancreatic cancer[J]. China Oncology, 2014, 24(2): 81-86.
罗国培,肖志文,刘祖强,郭萌,龙江,刘辰,刘亮,徐近,倪泉兴,虞先濬. 胰腺癌淋巴转移诊治进展与处理规范[J]. 中国癌症杂志, 2014, 24(2): 81-86. DOI: 10.3969/j.issn.1007-3969.2014.02.001.
罗国培, 肖志文, 刘祖强, et al. Standard in the clinical management of the lymph metastasis in pancreatic cancer[J]. China Oncology, 2014, 24(2): 81-86. DOI: 10.3969/j.issn.1007-3969.2014.02.001.
淋巴转移是影响胰腺癌患者预后的最重要因素之一,能反映胰腺癌的生物学特性和侵袭潜能,而目前关于胰腺癌淋巴转移的临床诊治尚未达成统一。现就胰腺癌淋巴转移率及对预后的影响、胰腺癌淋巴转移规律、前哨淋巴结、术中淋巴结示踪、淋巴转移与胰腺癌TNM分期、区域淋巴结清扫、淋巴结检出个数、淋巴转移对术后辅助治疗的指导意义、淋巴导向治疗等进行阐述。
Lymph metastasis has great impact on the prognosis of pancreatic cancer patients
which canreflect the biological and invasive potential of pancreatic cancer. However
currently
there is no standard in the clinical management of the lymph metastasis in pancreatic cancer. In this report
we will discuss and summarize the followings: lymph metastatic rate and its impact on prognosis
the rule of lymph metastasis
sentinel lymph node
intra-operative lymph nodes mapping
TNM staging
regional lymph nodes resection
number of lymph nodes examined
lymph node ratio
guiding adjuvant treatments
lymphatic targeted therapy.
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