Lymphadenectomy in ovarian cancer

Détails

ID Serval
serval:BIB_9369423EEFEA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Lymphadenectomy in ovarian cancer
Périodique
European Journal of Gynaecological Oncology
Auteur(s)
Dexeus  S., Cusido  M. T., Suris  J. C., Grases  P., Paraira  M.
ISSN
0392-2936 (Print)
Statut éditorial
Publié
Date de publication
2000
Volume
21
Numéro
3
Pages
215-22
Notes
Journal Article
Résumé
Current guidelines for the surgical staging of ovarian cancer include the removal of retroperitoneal lymph nodes (pelvic and aortic). In most centres this is achieved by means of laparotomy, but advanced laparoscopic techniques have also been performed and still further prospective controlled studies with long-term follow-up are necessary to validate the efficacy. Lymph node sampling, short of complete dissection, should be avoided because it may be insufficient to detect metastasis. In any case, laparoscopic lymphadenectomy as well as open surgery, should be in the hands of properly trained subspecialists in gynaecologic oncology. Of 97 patients with ovarian carcinoma studied in our hospital, 68% were treated by means of complete staging laparotomy (FIGO). Lymphadenectomy was spared in 14 cases with stage I tumours (mainly serous) without changes in overall survival. In 15% metastases in pelvic lymph nodes were present. In the same proportion aortic lymph nodes were positive. In 5.5%, aortic metastases were present in the absence of pelvic involvement.
Mots-clé
Female Humans *Lymph Node Excision/methods Magnetic Resonance Imaging Ovarian Neoplasms/diagnosis/*surgery Tomography, Emission-Computed
Pubmed
Web of science
Création de la notice
25/01/2008 14:24
Dernière modification de la notice
03/03/2018 19:34
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