摘要
<正>淋巴结转移是导致前列腺癌根治术后生化复发的主要原因。Briganti等~([1])在2006年报道T3b~T4期前列腺癌术后56.7%患者有淋巴结转移,而同期完成的盆腔扩大淋巴结清扫仅完成77%阳性淋巴结的清除。Wilczak等~([2])报道前列腺癌细胞侵犯淋巴管对术后生化复发的影响等同于淋巴结转移。在14 528例完成前列腺癌根治术的病例进行回顾性研究中发现,没有淋巴结转移的患者中有11%发现有淋巴管侵犯;有淋巴结转移的患者中有61%同时伴有淋巴管侵犯。无论是淋巴结转移还是淋巴管侵犯均会对术后生化复发产生显著的影响。
引文
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