Medizinische Universität Graz - Research portal
Selected Publication:
Winter, R; Petru, E; Haas, J.
Pelvic and para-aortic lymphadenectomy in cervical cancer.
Baillieres Clin Obstet Gynaecol. 1988; 2(4):857-866
Doi: 10.1016/S0950-3552(98)80013-8
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- Leading authors Med Uni Graz
- Winter Raimund
- Co-authors Med Uni Graz
- Haas Josef
- Petru Edgar
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- Abstract:
- The surgical treatment of invasive cervical cancer must both remove the primary tumour and eliminate the paths by which it spreads--i.e., the lymphatics and the lymph nodes. In 359 patients, systematic pelvic lymphadenectomy yielded positive nodes in 30.3% of Stage Ib and in 44.7% of Stage IIb cases. In the 140 patients with positive nodes, the obturator group was involved in 76.4%, the external iliac group in 62.8%, and the presacral and subaortic nodes in only 4.3%. One node group was involved in 55% of the patients, two and three groups in 27.8% and 7.1% respectively. In patients with only one positive node group, the obturator nodes were involved the most often (31.4%), followed by the external iliac (21.4%) and parametrial nodes (9.2%). Nine patients with Stage Ib and 31 patients with Stage IIb disease underwent para-aortic as well as pelvic lymphadenectomy. Positive para-aortic nodes were found in 11.1% and 22.6%, respectively; 12.5% of these patients had major complications, but there was no surgical mortality. Since radiotherapy cannot sterilize positive nodes, systematic pelvic and para-aortic lymphadenectomy may improve the survival of such patients.
- Find related publications in this database (using NLM MeSH Indexing)
- Aorta -
- Female -
- Humans -
- Lymph Node Excision - adverse effects
- Lymphatic Metastasis - adverse effects
- Neoplasm Invasiveness - adverse effects
- Uterine Cervical Neoplasms - pathology