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Pelvic Lymph Node Metastases in Carcinoma of the Cervix
Author(s) -
Kneale Barry
Publication year - 1970
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1970.tb00423.x
Subject(s) - medicine , radical hysterectomy , stage (stratigraphy) , cervix , lymph node , lymph , incidence (geometry) , cervical cancer , lymphadenectomy , radiology , radical surgery , carcinoma , cervical carcinoma , surgery , cancer , pathology , paleontology , physics , optics , biology
Summary During 1951‐1959 inclusive 391 patients with invasive cervical cancer were subjected to pelvic lymphadenectomy, usually in association with radical hysterectomy. Twenty‐nine per cent, had nodal metastases, the incidence being 20% in Stage 1 and 26% in Stage 2. Of the patients with involved nodes only 32% survived 5 years or more, compared with 76% in those without involved nodes. Patients in the latter group with Stage 1 lesions had a much better prognosis than those with Stage 2 lesions. External irradiation of lymph nodes prior to surgery markedly reduced the incidence of metastases. The serious effects of megavoltage therapy prior to radical surgery were noted. The significance of the site and number of nodal metastases was examined. The importance of survival for 3 years in the patient with positive nodes is emphasised.