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Effect of Paraaortic Lymphadenectomy on 5‐Year Survival in Early Stage Cervical Cancer
Author(s) -
Ayhan Ali,
Tuncer Z. Selcuk,
Ayhan Ayse
Publication year - 1990
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.1990.tb02035.x
Subject(s) - lymphadenectomy , medicine , radical hysterectomy , cervical cancer , radiation therapy , lymph node , stage (stratigraphy) , paraaortic lymph nodes , survival rate , surgery , hysterectomy , incidence (geometry) , cancer , metastasis , urology , paleontology , physics , optics , biology
EDITORIAL COMMENT: In this study, there was no statistical difference in survival between the 137patients who underwent pelvic and paraaortie lymphadenectomy and the 141 who had pelvic lymphadnectomy alone at the time of radical hysterectomy. However, since the 2 groups were not randomized, and since all patients with positive paraaortie lymph nodes had extended field radiotherapy plus chemotherapy, it was not possible to evaluate if paraaortie lymphadenectomy conferred a survival benefit. The authors consider that paraaortie lymphadenectomy is an essential part of surgical staging in patients with early cervical cancer for the purpose of prognosis, but its effect on survival for the small proportion with involved paraaortie nodes remains unclear. Summary: This study includes 278 patients with Stages 1 and 2 cervical cancer subjected to type 3 hysterectomy and lymphadenectomy. The incidence of lymph node metastasis and effect of paraaortie lymphadenectomy on 5‐year survival were evaluated. The overall incidences of pelvic and paraaortie lymph node involvement were 24.1% and 8.0%, respectively. The overall 5‐year survival rate was 83.8%. The 5‐year survival of patients subjected to both pelvic and paraaortie lymphadenectomy was found to be 84.6%; the figure was 80.9% for patients subjected to only pelvic lymphadenectomy. No statistical difference in survival was found between patients with and without paraaortie lymphadenectomy.