引用本文:白惠惠(综述),邓靖宇(审校).胃癌淋巴结转移的分期与影像学诊断研究进展[J].中国临床新医学,2019,12(12):1345-1349.
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胃癌淋巴结转移的分期与影像学诊断研究进展
白惠惠(综述),邓靖宇(审校)
300060 天津,天津医科大学肿瘤医院胃部肿瘤科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市恶性肿瘤临床医学研究中心
摘要:
[摘要] 淋巴结转移是影响胃癌患者预后的重要危险因素之一。病理活检是目前现有的检查手段中唯一可以确诊淋巴结转移阳性的方式,而胃周淋巴结分布广泛且解剖位置多变,术前对淋巴结进行活检较为困难。现有的检查方式中,无论是超声内镜(EUS)、多排螺旋CT(MDCT)还是核磁共振成像(MRI),对于淋巴结转移的诊断目前都是停留在形态学方面。该文对胃癌淋巴结转移的分期与影像学诊断研究进展进行综述。
关键词:  胃癌  淋巴结转移  影像学
DOI:10.3969/j.issn.1674-3806.2019.12.24
分类号:R 814.42
基金项目:国家自然科学基金项目(编号:81572372);国家重点研发计划项目(编号:2016YFC1303202;2017YFC0908300)
Advances in imaging diagnosis and staging of lymph node metastasis of gastric cancer
BAI Hui-hui, DENG Jing-yu
Department of Gastric Oncology, the Affiliated Tumor Hospital of Tianjin Medical University, National Clinical Research Center for Cancer, Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin Clinical Medicine Research Center for Malignant Tumors, Tianjin 300060, China
Abstract:
[Abstract] Lymph node metastasis is one of the important risk factors affecting the prognosis of gastric cancer patients. Currently, pathological biopsy is the only examination method that can confirm the positive lymph node metastasis. However, the perigastric lymph nodes are widely distributed and their anatomical positions are variable. Therefore, it is difficult to conduct biopsy of lymph nodes before operation. Among the existing examination methods, whether endoscopic ultrasound(EUS), multidetector-row computed tomography(MDCT) or magnetic resonance imaging(MRI), the diagnosis of lymph node metastasis is currently based on morphology. This paper reviews the research progress of imaging diagnosis and staging of lymph node metastasis of gastric cancer.
Key words:  Gastric cancer  Lymph node metastasis  Imaging