36 297

Cited 19 times in

Para-aortic lymphadenectomy in the management of preoperative grade 1 endometrial cancer confined to the uterine corpus.

Authors
Yoon, JH; Yoo, SC; Kim, WY; Chang, SJ; Chang, KH; Ryu, HS
Citation
Annals of surgical oncology, 17(12):3234-3240, 2010
Journal Title
Annals of surgical oncology
ISSN
1068-92651534-4681
Abstract
BACKGROUND: The aim of this study was to determine the risk of para-aortic lymph node metastasis in surgically staged patients presenting with preoperative grade 1 endometrial cancer and to assess the impact of para-aortic lymphadenectomy.

MATERIALS AND METHODS: A total of 131 consecutive patients diagnosed with preoperative grade 1 endometrial cancer from 2004 to 2009 were analyzed. We included women with endometrial cancer that was thought preoperatively to be confined to the uterine corpus, and all patients had complete staging operation including total hysterectomy, bilateral salpingo-oophorectomy, peritoneal washings, pelvic lymphadenectomy, and para-aortic lymphadenectomy.

RESULTS: Of 131 patients, 6 (4.6%) had positive para-aortic lymph nodes and only 2 (1.5%) had isolated para-aortic nodal metastasis with negative pelvic nodes. In comparison of preoperative and postoperative histology, 6.8% of patients were upgraded, with 5.3% grade 2 and 1.5% grade 3. Advanced stage disease was found in 12.9%. Deep myometrial invasion by MRI and CA 125 levels of ≥ 31 U/ml were found to be independent preoperative risk factors for para-aortic lymph node metastasis.

CONCLUSIONS: Some patients with preoperative grade 1 endometrial cancer are found to have upgraded disease and para-aortic nodal metastasis. Para-aortic lymphadenectomy should be considered in patients presenting with preoperative grade 1 endometrial cancer, especially in the setting of preoperative CA 125 levels of > 31 U/ml and deep myometrial invasion by MRI.
MeSH terms
AdultAgedAged, 80 and overCarcinoma, Papillary/pathology/*surgeryCystadenocarcinoma, Serous/pathology/*surgeryEndometrial Neoplasms/pathology/*surgeryFemaleFollow-Up StudiesHumans*Lymph Node ExcisionLymphatic MetastasisMiddle AgedNeoplasm InvasivenessNeoplasm StagingPreoperative CareSurvival RateTreatment OutcomeUterine Neoplasms/pathology/*surgery
DOI
10.1245/s10434-010-1199-5
PMID
20585865
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Medical Science
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
AJOU Authors
윤, 종혁유, 승철김, 우영장, 석준장, 기홍유, 희석
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse