Para-aortic node biopsy in cervical and endometrial cancers: does it affect survival?
Autor: | Fransiska A. Lee, Robert J. Baglan, Kenneth A. Hodel, James G. Blythe, Terri P. Wahl, Frederick R. Zivnuska |
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Rok vydání: | 1986 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Biopsy Uterine Cervical Neoplasms Adenocarcinoma Histologic grade Cervical carcinoma medicine Humans Stage (cooking) Survival rate Aorta Gynecology Endometrial adenocarcinoma medicine.diagnostic_test business.industry Incidence (epidemiology) Carcinoma Obstetrics and Gynecology Prognosis Radiation therapy Lymphatic Metastasis Uterine Neoplasms cardiovascular system Female Radiology Lymph Nodes business |
Zdroj: | American journal of obstetrics and gynecology. 155(2) |
ISSN: | 0002-9378 |
Popis: | Two hundred ten patients with endometrial and cervical carcinoma had para-aortic node biopsies. Nineteen of the 210 patients (9.0%) had positive para-aortic nodes. These 19 patients received pelvic irradiation, and 18 patients received para-aortic irradiation. The incidence of para-aortic nodal involvement in cervical carcinoma was directly related to the stage of the disease. Eleven of the 12 patients with cervical carcinoma and positive para-aortic nodes received both pelvic and para-aortic irradiation. Three of these patients are alive without disease, resulting in a survival rate of 25%. These patients are surviving for 16, 30, and 41 months. The incidence of positive para-aortic nodes in endometrial adenocarcinoma was related to the uterine length and the histologic grade. The survival rate for patients with endometrial adenocarcinoma and positive para-aortic nodes in this study was 57.1%. Four patients have survived for 1, 30, 60, and 71 months. There were no surgical deaths or radiation therapy complications directly attributable to para-aortic biopsy or irradiation. |
Databáze: | OpenAIRE |
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