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非小细胞肺癌是一种常见恶性肿瘤,手术切除是治疗早期非小细胞肺癌的主要方法,患者5a总生存率为10%~15%,淋巴结转移是导致术后复发的主要因素之一。性别、吸烟史、病灶大小、病灶位置、病理类型、肿瘤分化程度及肿瘤周边脉管的微浸润是影响肺内淋巴结转移的危险因素。非小细胞肺癌淋巴结跳跃转移现象与肿瘤大小及病理类型相关。研究肺内第12、13、14组淋巴结对单纯有肺内淋巴结转移患者的准确分期及术后是否行辅助放、化疗有指导意义。本文就非小细胞肺癌肺内淋巴结转移规律及分站检测的研究进展作一综述。
Non-small cell lung cancer is a common malignant tumor. Surgical resection is the main method for the treatment of early stage non-small cell lung cancer. The overall survival rate of patients is 10% -15%. Lymph node metastasis is one of the main causes of postoperative recurrence. Gender, smoking history, size of the lesion, location of the lesion, pathological type, degree of tumor differentiation and microinvasion of the peripheral vessels of the tumor are risk factors affecting lymph node metastasis in the lung. The lymph node metastasis in non-small cell lung cancer is related to tumor size and pathological type. It is instructive to study whether the 12th, 13th, and 14th groups of lymph nodes in the lung are accurate staging of patients with simple intrapulmonary lymph node metastasis and whether adjuvant radiotherapy or chemotherapy is performed after operation. This review summarizes the research progress of lymph node metastasis and sub-station detection in non-small cell lung cancer.