European journal of gynaecological oncology · 2017
Lymph node involvement in clinically apparent early ovarian cancer: a prospective study.
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Khouly N I, Elkelani O A, Elhalaby A F
Аннотация
PURPOSE: The objective of this study was to identify the lymph node involvement in apparently early ovarian cancer (OC) Materials and Methods: Patients with clinically apparent early OC who underwent staging surgery between August 2012 and August 2015 were prospectively identified. Patients' characteristics and tumor histopathology were evaluated.
RESULTS: Twenty consecutive patients were operated for grossly apparent early ovarian carcinoma. All patients were surgically staged and underwent a systematic pelvic and para- aortic lymphadenectomy. There were eight patients (40%) with lymph node involvement. One of the eight lymph node metastasis was solely in para-aortic node, three patients had both positive-pelvic and aortic nodes, and the other metastasis was in ipsilateral pelvic lymph node. Positive lymph node involvement was significantly higher among patients with poorly differentiated tumor grade (62.5%) (p = 0.02).
CONCLUSION: All patients diagnosed with early OC macroscopically confined to the ovaries should be considered for compre- hensive staging surgery including pelvic and para-aortic lymphadenectomy.
RESULTS: Twenty consecutive patients were operated for grossly apparent early ovarian carcinoma. All patients were surgically staged and underwent a systematic pelvic and para- aortic lymphadenectomy. There were eight patients (40%) with lymph node involvement. One of the eight lymph node metastasis was solely in para-aortic node, three patients had both positive-pelvic and aortic nodes, and the other metastasis was in ipsilateral pelvic lymph node. Positive lymph node involvement was significantly higher among patients with poorly differentiated tumor grade (62.5%) (p = 0.02).
CONCLUSION: All patients diagnosed with early OC macroscopically confined to the ovaries should be considered for compre- hensive staging surgery including pelvic and para-aortic lymphadenectomy.