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Para‐aortic node biopsy in staging women with cervical, ovarian and endometrial carcinoma: A review
Author(s) -
Piver M. Steven
Publication year - 1979
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930120411
Subject(s) - medicine , stage (stratigraphy) , cervical cancer , endometrial biopsy , carcinoma , endometrial cancer , biopsy , cervical carcinoma , metastasis , oncology , ovarian carcinoma , lymph node , radiology , ovarian cancer , gynecology , cancer , paleontology , biology
In women with gynecologic malignancies the para‐aortic lymph nodes are not routinely treated. However, pretherapy surgical staging has now disclosed an incidence of para‐aortic node metastasis of 10.3% for presumed stage I and II ovarian cancer, 8.0% for stage I endometrial carcinoma, and 23.5% for stage II, III, and IV cervical cancer. Prospective trials to evaluate therapy directed to the para‐aortic nodes in women with early ovarian and endometrial carcinoma have not been carried out. Moreover, the results of high dose irradiation to biopsy proven metastasis to the aortic lymph nodes from cervical cancer has resulted in only 11.9% survival without recurrence at two years.