systemic lymphadenectomy cannot be recommended for low-risk corpus cancer

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ID: 253613
2010
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Abstract
Objective. The objective of this study is to ascertain whether omission of lymphadenectomy could be possible when uterine corpus cancer is considered low-risk based on intraoperative pathologic indicators. Patient and Methods. Between 1998 and 2007, a total of 83 patients with low risk corpus cancer (endometrioid type, grade 1 or 2, myometrial invasion ≦50%, and no intraoperative evidence of macroscopic extrauterine spread, including pelvic and paraaortic lymph node swelling and adnexal metastasis) underwent the total abdominal hysterectomy and bilateral salpingo-oophorectomy without lymphadenectomy. A retrospective review of the medical records was performed, and the disease-free survival (DFS), overall survival (OS), peri- and postoperative morbidities and complications were evaluated. Results. The 5-year DFS rates and the 5-year OS rates were 97.6% and 98.8%, respectively. No patient presented postoperative leg lymphedema and deep venous thrombosis. Conclusion. Omission of lymphadenectomy did not worsen the DFS or OS. The present findings suggest that systemic lymphadenectomy could be omitted in low-risk endometrial carcinoma.
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hidaka2010obstetricssystemic Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Takao Hidaka;Akitoshi Nakashima;Tomoko Shima;Toru Hasegawa;Shigeru Saito
Journal vìsnik nacìonalʹnogo avìacìjnogo unìversitetu
Year 2010
DOI
10.1155/2010/490219
URL
http://dx.doi.org/10.1155/2010/490219
Keywords
gynecology and obstetrics

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