Journal of International Oncology››2021,Vol. 48››Issue (7): 389-401.doi:10.3760/cma.j.cn371439-20210512-00076
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Received:2021-05-12Revised:2021-06-04Online:2021-07-08Published:2021-07-26
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| 项目 | 盆腔 骶前区 |
直肠 系膜区 |
髂内淋巴 引流区 |
闭孔淋巴 引流区 |
髂外淋巴 引流区 |
肛门括约肌 复合体 |
坐骨 直肠窝 |
腹股沟淋巴 引流区 |
|---|---|---|---|---|---|---|---|---|
| cT3N0,高位 | + | + | + | |||||
| cT3N0,中低位a | + | + | + | +(肛管受侵) | c | d | ||
| 任何T,直肠系膜/骶前淋巴结转移 | + | + | + | + | +(肛管受侵) | c | d | |
| 任何T,髂内淋巴结转移 | + | + | + | + | +(肛管受侵) | c | d | |
| 任何T,闭孔淋巴结转移 | + | + | + | + | + | +(肛管受侵) | c | d |
| cT4,前盆腔器官受侵b | + | + | + | + | + | +(肛管受侵) | c | d |
"
| 项目 | Dixon术后 | Miles术后 |
|---|---|---|
| 吻合口/会阴瘢痕 | +(吻合口) | +(会阴瘢痕) |
| 瘤床 | + | + |
| 骶前区+直肠系膜区+ 髂内淋巴引流区a | + | + |
| 闭孔淋巴引流区 | + | + |
| 髂外淋巴引流区 | - | - |
| 腹股沟淋巴引流区 | - | - |
| 坐骨直肠窝 | +(肿瘤中心距肛门缘6 cm以内) | + |
| 肛门括约肌复合体 | 已切除 |
"
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