Scalene lymph node dissection in locally advanced cervical carcinoma: is it reasonable or unnecessary?
| Autor: | Fulya Kayikcioglu, Gökhan Tulunay, Nurettin Boran, M. Faruk Köse |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Cancer Research medicine.medical_specialty Uterine Cervical Neoplasms 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Breast cancer medicine Carcinoma Mammography Humans Stage (cooking) Mass screening Aged Neoplasm Staging medicine.diagnostic_test business.industry Incidence (epidemiology) Lymphography General Medicine Middle Aged medicine.disease Surgery Dissection Oncology 030220 oncology & carcinogenesis Lymphatic Metastasis Lymph Node Excision Female Radiology Scalene Lymph Node business |
| Zdroj: | Tumori. 89(2) |
| ISSN: | 0300-8916 |
| Popis: | Aims and background The aim of this study was to evaluate the routine use of scalene lymph node dissection to determine the degree of disease spread in women with stage IIB-IVA cervical cancer treated at our hospital. Methods and study design Patients with locally advanced cervical carcinoma underwent para-aortic lymph node dissection via the extraperitoneal approach. Patients with clinical evidence of scalene or supraclavicular node metastasis were excluded. If their paraaortic nodes were tumor-positive, patients underwent scalene lymph node dissection. Results Twenty-eight scalene lymph node samplings were performed. Three patients had microscopically positive scalene lymph nodes (10.7%). In one patient the thoracic duct was injured. Conclusion Patients with cervical carcinoma whose only extrapelvic site of metastases is the para-aortic lymph nodes may be eligible for scalene lymph node dissection as part of their pretreatment assessment, especially if extended field radiation is considered. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|