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Pelvic and paraaortic lymph node metastasis in clinical Stage I endometrial adenocarcinoma: an analysis of 58 consecutive cases

  • M. Ozsoy1,*,
  • S. Dilek2
  • D. Ozsoy1

1Department of Obstetrics and Gynaecology, Suleyman Demirel University, School of Medicine, Turkey

2Department of Obstetrics and Gynaecology, Gynaecologic Oncology Unit, Giilhane Military Medical Academy, Isparta, Turkey

DOI: 10.12892/ejgo200305398 Vol.24,Issue 5,September 2003 pp.398-400

Published: 10 September 2003

*Corresponding Author(s): M. Ozsoy E-mail:

Abstract

Objective: The aim of this study was to evaluate the importance of complete surgical-pathologic staging in clinical Stage I endometrial adenocarcinomas.

Methods: 58 consecutive women with clinical Stage I endometrial adenocarcinomas were investigated.

Results: Isolated paraaortic lymph node invasion was found in one patient without pelvic node invasion (5%).

Conclusions: We recommend a complete lymphadenectomy instead of selective lymphadenectomy. With this practice the real stages of the cases can be determined and over treatment can be avoided.

Keywords

Endometrial adenocarcinoma; Complete lymphadenectomy; Clinical Stage 1

Cite and Share

M. Ozsoy,S. Dilek,D. Ozsoy. Pelvic and paraaortic lymph node metastasis in clinical Stage I endometrial adenocarcinoma: an analysis of 58 consecutive cases. European Journal of Gynaecological Oncology. 2003. 24(5);398-400.

References

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[3] Christopherson W. M., Alberhasky R. C., Connelly P. J.: "Carcinoma of the endometrium. II. Papillary adenocarcinoma: a clinical pathological study, 46 cases". Am. J. Clin. Pathol., 1982, 77, 534.

[4] Ayhan A., Tuncer Z.S., Tuncer R., Yi.ice K., Ki.i1,i.ikali T.: "Tumor Status of lymph nodes in early endometrial cancer in relation to lymph node size". Eur. J. Obstet. Gynecol. Reprod. Biol., 1995, 60, 61.

[5] Ayhan A., Tuncer Z.S., Tuncer R., Ki.i1,i.ikali T.: "Risk factors for recurrence in clinically early endometrial carcinoma: an analysis of 183 concecutive cases". Eur. J. Obstet. Gynecol. Reprod. Biol., 1994, 57 (3), 167.

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[8] Kilgore L.C., Patridge E., Alverej R.D. et al.: "Adenocarcinoma of the endometrium: Survival comparision of patients with and without pelvic node sampling". Gynecol. Oncol., 1995, 56, 26.

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