Critical analysis of lymph node examination in patients undergoing curative-intent resection for adrenocortical carcinoma
Autor: | Justin Drake, Paxton V. Dickson, Benjamin W. Deschner, Zachary E. Stiles, Danny Yakoub, Jeremiah L. Deneve, Olivia M. DeLozier, Miriam W. Tsao, Evan S. Glazer |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment 030230 surgery 03 medical and health sciences 0302 clinical medicine medicine Adrenocortical Carcinoma Adrenocortical carcinoma Humans In patient Lymph node Neoadjuvant therapy Retrospective Studies business.industry Cancer General Medicine Middle Aged medicine.disease Prognosis Adrenal Cortex Neoplasms Survival Rate Dissection medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Lymph Node Excision Surgery Lymphadenectomy Female Lymph Radiology Lymph Nodes business Follow-Up Studies |
Zdroj: | Journal of surgical oncologyREFERENCES. 122(6) |
ISSN: | 1096-9098 |
Popis: | BACKGROUND Adrenocortical carcinoma (ACC) is a rare tumor and the role of lymph node dissection remains ill-defined. This study evaluates the effect of nodal examination on prognosis and survival in patients undergoing curative-intent resection of ACC. METHODS The National Cancer Database (2004-2015) was queried for patients undergoing margin-negative resection for ACC. Patients with distant metastases, neoadjuvant therapy, multivisceral resection and T4 tumors were excluded. RESULTS Among 897 patients, 147 (16.4%) had lymph nodes examined. Factors associated with lymph node examination included increasing tumor size (P |
Databáze: | OpenAIRE |
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