Abstract | OBJECTIVE: STUDY DESIGN: RESULTS: According to the results, systematic pelvic and para-aortic lymphadenectomies improved disease-free and overall survival rates among the patients with endometrial cancer. The mean number of removed para-aortic lymph nodes was 19.01 +/- 5.88, whereas the mean number of removed iliac lymph nodes was 32.94 +/- 6.69. Forty-two and 31 metastatic iliac and para-aortic nodes were found, respectively. No surgery-related deaths and major intraoperative injuries occurred. The frequency and the type of postoperative complications were not affected by the performance of lymphadenectomy. The morbidity rate was 6.2%, similar to the group without lymphadenectomy (5.79%). No recurrence occurred in the group with lymphadenectomy, while in the other group the recurrence rate was 23.3%. CONCLUSIONS: Lymph nodes metastases can be observed in early stages of EC. Pelvic and para-aortic lymphadenectomies seems to provide profound information about the Stage of the disease and the patient's survival, identifying which patients are suitable for supplementary treatment, without significant clinical increase of morbidity.
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Authors | A Koukoulomati, P Tsikouras, N Tsagias, R Csorba, A Liberis, A T Teichmann, V S Liberis, G Galazios |
Journal | European journal of gynaecological oncology
(Eur J Gynaecol Oncol)
Vol. 34
Issue 4
Pg. 319-21
( 2013)
ISSN: 0392-2936 [Print] Singapore |
PMID | 24020137
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Endometrial Neoplasms
(diagnosis, mortality, pathology, surgery)
- Female
- Humans
- Lymph Node Excision
- Lymphatic Metastasis
- Middle Aged
- Neoplasm Staging
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