Lymphatic spread in stage Ib and II cervical carcinoma: Anatomy and surgical implications
作者： Guy Michel , Philippe Morice , Damienne Castaigne , Marc Leblanc , Annie Rey
DOI: 10.1016/S0029-7844(97)00696-0
关键词:
摘要: Abstract Objective : To determine the frequency and topography of pelvic para-aortic node involvement in cervical carcinoma to identify appropriate level for resection lymphatic chains. Methods Between 1985 1994, 421 women with stage Ib or II were treated by surgery combination irradiation. Each underwent a radical hysterectomy systematic lymphadenectomy. Results A median 34 lymph nodes removed per patient. The overall was 26%, metastases 8%. metastasis associated significantly ( χ 2 = 7.8; P 14.8; 5.9; Conclusion Para-aortic lymphadenectomy should remove all left chain (inframesenteric supramesenteric) so be performed up renal vein. According low when tumor size is below cm, such procedure could avoided patients small tumors.
elsevier.com
sci-hub.se 参考文章(23)
Gilbert H. Fletcher, Subclinical disease Cancer. ,vol. 53, pp. 1274- 1284 ,(1984) , 10.1002/1097-0142(19840315)53:6<1274::AID-CNCR2820530610>3.0.CO;2-U
E Burghardt, H Pickel, Local spread and lymph node involvement in cervical cancer. Obstetrics & Gynecology. ,vol. 52, pp. 138- 145 ,(1978)
Hervy E. Averette, Hoa N. Nguyen, Daniel M. Donato, Manuel A. Penalver, Bernd-Uwe Sevin, Ricardo Estape, William A. Little, Radical hysterectomy for invasive cervical cancer: A 25-year prospective experience with the Miami technique Cancer. ,vol. 71, pp. 1422- 1436 ,(1993) , 10.1002/CNCR.2820710407
Erle Henriksen, The lymphatic spread of carcinoma of the cervix and of the body of the uterus; a study of 420 necropsies. American Journal of Obstetrics and Gynecology. ,vol. 58, pp. 924- 942 ,(1949) , 10.1016/0002-9378(49)90200-8
L.D. Lagasse, M.L. Smith, J.G. Moore, D.G. Morton, M. Jacobs, G.H. Johnson, W.G. Watring, The effect of radiation therapy on pelvic lymph node involvement in Stage I carcinoma of the cervix American Journal of Obstetrics and Gynecology. ,vol. 119, pp. 328- 334 ,(1974) , 10.1016/0002-9378(74)90292-0
J.P. Pilleron, J.C. Durand, J.P. Hamelin, Location of lymph node invasion in cancer of the uterine cervix: Study of 140 cases treated at the Curie Foundation American Journal of Obstetrics and Gynecology. ,vol. 119, pp. 453- 457 ,(1974) , 10.1016/0002-9378(74)90200-2
Herbert J. Buchsbaum, Extrapelvic lymph node metastases in cervical carcinoma American Journal of Obstetrics and Gynecology. ,vol. 133, pp. 814- 824 ,(1979) , 10.1016/0002-9378(79)90118-2
Gordon O. Downey, Roger A. Podsh, Leon L. Adcock, Konald A. Prem, Leo B. Twiggs, Pretreatment surgical staging in cervical carcinoma: therapeutic efficacy of pelvic lymph node resection. American Journal of Obstetrics and Gynecology. ,vol. 160, pp. 1055- 1061 ,(1989) , 10.1016/0002-9378(89)90160-9
J. V. Meigs, Carcinoma of the cervix—the wertheim operation CA: A Cancer Journal for Clinicians. ,vol. 25, pp. 33- 39 ,(1975) , 10.3322/CANJCLIN.25.1.33
Frank Girardi, Hellmuth Pickel, Raimund Winter, Pelvic and Parametrial Lymph Nodes in the Quality Control of the Surgical Treatment of Cervical Cancer Gynecologic Oncology. ,vol. 50, pp. 330- 333 ,(1993) , 10.1006/GYNO.1993.1220