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Para‐aortic lymphadenectomy for primary fallopian tube cancer
Author(s) -
Koo YuJin,
Kwon YongSoon,
Lim KyungTaek,
Lee KiHeon,
Shim JaeUk,
Mok JungEun
Publication year - 2011
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2010.07.025
Subject(s) - medicine , lymphadenectomy , stage (stratigraphy) , lymph node , lymph , surgery , pathology , paleontology , biology
Objective To investigate the topography of lymph node spread and the need for para‐aortic lymphadenectomy in primary fallopian tube cancer (PFTC). Methods Twenty‐six women were diagnosed with PFTC at Cheil General Hospital and Women's Healthcare Center, Seoul, Korea, between March 1992 and November 2009. Of the 26 patients, we retrospectively analyzed 15 patients who underwent complete staging surgery, including bilateral pelvic and para‐aortic lymphadenectomy. Results The median follow‐up period was 57.9 months (range, 3–185 months) and the 5‐year survival rate was 86.3%. Five (33.3%) patients were diagnosed with FIGO stage I, 1 (6.7%) with stage II, and 9 (60%) with stage III cancer. The median number of lymph nodes removed was 53.8 (range, 18–106 nodes). Four (26.7%) patients had nodal involvement: 2 patients with para‐aortic lymph node involvement and 2 patients with both pelvic and para‐aortic lymph node involvement. None of the patients was positive for pelvic lymph nodes alone. Conclusion A comprehensive para‐aortic lymphadenectomy was necessary for accurate staging in PFTC.