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Case Reports

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Isolated para-aortic node involvement in stage IB/11 cervical carcinoma

  • P. Morice1,*,
  • J.C. Sabourin1
  • P. Pautier1
  • A. Gerbaulet1
  • P. Duvillard1
  • D. Castaigne1

1Department of Gynecologic Surgery, Pathology Oncology and Brachytherapy, Institute Gustave Roussy, Villejuif, France

DOI: 10.12892/ejgo200002123 Vol.21,Issue 2,March 2000 pp.123-125

Published: 10 March 2000

*Corresponding Author(s): P. Morice E-mail:

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Abstract

The aim of this report was to describe exceptional cases of patients treated for stage Ib and II cervical carcinoma with isolated para-aortic node involvement and to deduce therapeutic implications. Between 1985 and 1998, 491 women with stage IB or II cervical carcinoma underwent radical hysterectomy with systematic pelvic and para-aortic lymphadenectomy. Five patients had para-aortic metastatic nodes but no external iliac, obturator or common iliac node involvement. These five patients had a tumor size >3 cm. According to these cases, in patients with bulky cervical carcinoma systematic complete lymphadenectomy should be performed in order to avoid misdiagnosis of para-aortic node involvement.

Keywords

Cervical carcinoma; Metastatic nodes; Para-aortic nodes; Lymphadenectomy; Bulky tumors

Cite and Share

P. Morice,J.C. Sabourin,P. Pautier,A. Gerbaulet,P. Duvillard,D. Castaigne. Isolated para-aortic node involvement in stage IB/11 cervical carcinoma. European Journal of Gynaecological Oncology. 2000. 21(2);123-125.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200002123

References

[1] Michel G., Morice P., Castaigne D., Leblanc M., Rey A., Duvillard P.: "Lymphatic spread of stage IB/II cervical carcinoma: anatomy and surgical implications". Obstet. Gynecol., 1998, 91, 360.

[2] Piver M. S., Chung W. S.: "Prognostic significance of cervical lesion size and pelvic node metastases in cervical carcinoma”. Obstet. Gynecol., 1975, 46, 507.

[3] Girardi F., Haas J.: "The importance of the histolog1c processing of pelvic lymph nodes in the treatment of cervical cancer". Int. J. Gynecol. Cancer, 1993, 3, 12.

[4] Buschbaum H.J.: "Extrapelvic lymph nodes metastases in cervical carcinoma". Am. J. Obstet. Gynecol., 1979, 133, 814.

[5] Deppe G.. Lubicz S., Galloway B. T., Thomas W., Heredia R.: "Aortic node metastases with negative pelvic nodes in cervical cancer". Cancer, 1984, 53, 173.

[6] Lagasse L. D., Smith M. L., Moore J. G., Morton D. G., Jacobs M., Jonhson G. H. et al.: "The effect of radiation therapy on pelvic lymph node involvement in stage I carcinoma of the cervix". Am. J. Obstet. Gynecol., 1974, 119, 328.

[7] Fletcher G. H., Rutledge F. N.: "Extended field techniques in the management of cancers of the cervix". Am. J. Roentgol., 1972, 114, 116.

[8] Hacker N. F., Wain G. V., Nicklin J. L.: "Resection of bulky positive lymph nodes in patients with cervical carcinoma". Int. J. Gynecol. Cancer, 1995, 5, 250.

[9] Downey G. 0., Potish R. A., Adcock L. L., Prem K. A., Twiggs LB.: "Pretreat ment surgical staging in cervical carcinoma: therapeutic efficacy of pelvic lymph node resection". Am. J. Obstet. Gynecol., 1989, 160, 1055.

[10] Cosin J. A., F owler J. M., Chen M. D., Paley P. J., Carson L. F., Twiggs L. B.: "Pretreatment surgical staging of patients with cervical carcinoma. The case for lymph node debulking". Cancer, 1998, 82, 2241

[11] Morice P., Castaigne D., Pautier P., Rey A., Haie-Meder C., Duvillard P. et al.: "Interest of para-aortic lymphadenectomy in stage IB and II cervical carcinoma". Gynecol. Oneal., 1999, 73, 106.

[12] Pastner B., Sedlacek T. V., Lovecchio J. L.: "Para-aortic node sampling in small (3 cm or less) stage IB invasive cervical cancer". Gynecol. Oneal., 1992, 44, 53.

[13] Morice P., Sabourin J. C., Pautier P., Mercier S., Duvillard P., Castaigne D.: "Indications and results of extemporaneous examination of pelvic lymph nodes in the surgical strategy of stage Ib or II cancers of the cervix uteri". Ann. Chir，1999, 53, 583.

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