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Systemic Lymphadenectomy Cannot Be Recommended for Low-Risk Corpus Cancer
Joint Authors
Nakashima, Akitoshi
Saito, Shigeru
Shima, Tomoko
Hasegawa, Toru
Hidaka, Takao
Source
Obstetrics and Gynecology International
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-02-04
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Hidaka, Takao& Nakashima, Akitoshi& Shima, Tomoko& Hasegawa, Toru& Saito, Shigeru. 2010. Systemic Lymphadenectomy Cannot Be Recommended for Low-Risk Corpus Cancer. Obstetrics and Gynecology International،Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-475738
Modern Language Association (MLA)
Hidaka, Takao…[et al.]. Systemic Lymphadenectomy Cannot Be Recommended for Low-Risk Corpus Cancer. Obstetrics and Gynecology International No. 2010 (2010), pp.1-5.
https://search.emarefa.net/detail/BIM-475738
American Medical Association (AMA)
Hidaka, Takao& Nakashima, Akitoshi& Shima, Tomoko& Hasegawa, Toru& Saito, Shigeru. Systemic Lymphadenectomy Cannot Be Recommended for Low-Risk Corpus Cancer. Obstetrics and Gynecology International. 2010. Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-475738
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-475738