臨床婦人科産科71巻3号

2017年04月発行

今月の臨床 婦人科がん低侵襲治療の現状と展望〈特別付録web動画〉

子宮体がん

センチネルリンパ節生検

著者： 新倉仁¹ 八重樫伸生¹

所属機関： ¹東北大学産婦人科

ページ範囲：P.328 - P.334

文献概要

●子宮体がんでも子宮頸がんと同様な子宮頸部へのトレーサー投与により，骨盤内のセンチネルリンパ節に限れば同定することは可能で，リンパ節転移の発見率は上昇する．

●高リスク症例に対する子宮頸部トレーサー投与による治療戦略は確立しておらず，子宮体部トレーサー投与の利用や，高精度で簡便な迅速リンパ節転移診断の利用など検討課題は多い．

●トレーサーとして蛍光色素のICGが簡便に使用されるようになり，センチネルリンパ節の検出率上昇が期待されているが，RIが利用可能であれば併用法が安全である．

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