Upper margin of para‐aortic lymphadenectomy in cervical cancer
Identifieur interne : 002894 ( Istex/Corpus ); précédent : 002893; suivant : 002895Upper margin of para‐aortic lymphadenectomy in cervical cancer
Auteurs : Lobna Ouldamer ; Sara Fichet-Djavadian ; Henri Marret ; Isabelle Barillot ; Gilles BodySource :
- Acta Obstetricia et Gynecologica Scandinavica [ 0001-6349 ] ; 2012-08.
Abstract
Patients with early stage cervical cancer routinely undergo pelvic lymphadenectomy. A para‐aortic lymphadenectomy is only performed in the setting of grossly enlarged lymph nodes. In patients with locally advanced disease, a para‐aortic lymphadenectomy is indicated particularly when pelvic nodes are suspicious for disease on preoperative imaging. There is no consensus about the extent of para‐aortic lymph node dissection in these patients. We reviewed relevant literature to determine the extension of para‐aortic lymphadenectomy in patients with cervical cancer in order to establish whether lymph node dissection up to the inferior mesenteric artery or higher to the level of renal vessels should be performed. We performed a systematic search (PubMed; up to June 2011) to review systematic complete para‐aortic lymphadenectomy. According to our search, eight women (1.09%) had isolated para‐aortic node metastases, of which two had only lymph node metastases above the inferior mesenteric artery.
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DOI: 10.1111/j.1600-0412.2012.01443.x
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A para‐aortic lymphadenectomy is only performed in the setting of grossly enlarged lymph nodes. In patients with locally advanced disease, a para‐aortic lymphadenectomy is indicated particularly when pelvic nodes are suspicious for disease on preoperative imaging. There is no consensus about the extent of para‐aortic lymph node dissection in these patients. We reviewed relevant literature to determine the extension of para‐aortic lymphadenectomy in patients with cervical cancer in order to establish whether lymph node dissection up to the inferior mesenteric artery or higher to the level of renal vessels should be performed. We performed a systematic search (PubMed; up to June 2011) to review systematic complete para‐aortic lymphadenectomy. According to our search, eight women (1.09%) had isolated para‐aortic node metastases, of which two had only lymph node metastases above the inferior mesenteric artery.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>node</json:string><json:string>cervical</json:string><json:string>metastasis</json:string><json:string>cervical cancer</json:string><json:string>oncol</json:string><json:string>lymphadenectomy</json:string><json:string>gynecol</json:string><json:string>gynecol oncol</json:string><json:string>lymph</json:string><json:string>cervix</json:string><json:string>lymph nodes</json:string><json:string>nodal</json:string><json:string>carcinoma</json:string><json:string>lymphatic</json:string><json:string>paln</json:string><json:string>paraaortic</json:string><json:string>surgical</json:string><json:string>ouldamer</json:string><json:string>tomography</json:string><json:string>gynecology</json:string><json:string>chemoradiation</json:string><json:string>cervical carcinoma</json:string><json:string>gynecologica</json:string><json:string>acta</json:string><json:string>obstetrics</json:string><json:string>obstetricia</json:string><json:string>nordic</json:string><json:string>positron</json:string><json:string>renal vessels</json:string><json:string>scandinavica</json:string><json:string>clin oncol</json:string><json:string>nordic federation</json:string><json:string>clin</json:string><json:string>metastatic</json:string><json:string>oncology</json:string><json:string>radiotherapy</json:string><json:string>aortic</json:string><json:string>uterine</json:string><json:string>figo</json:string><json:string>positron emission tomography</json:string><json:string>laparoscopic</json:string><json:string>gynecologic</json:string><json:string>gynecologica scandinavica</json:string><json:string>lymph node metastasis</json:string><json:string>lymph node metastases</json:string><json:string>pelvic nodes</json:string><json:string>lymph node dissection</json:string><json:string>radiation therapy</json:string><json:string>renal</json:string><json:string>sentinel</json:string><json:string>acta obstetricia</json:string><json:string>gynecologic oncology group study</json:string><json:string>authors acta obstetricia</json:string><json:string>lymphatic spread</json:string><json:string>imaging</json:string><json:string>pelvic</json:string><json:string>lymph nodes metastases</json:string><json:string>node metastasis</json:string><json:string>lower aortic nodes</json:string><json:string>nodal metastases</json:string><json:string>magnetic resonance imaging</json:string><json:string>lower part</json:string><json:string>lymph node status</json:string><json:string>pelvic lymphadenectomy</json:string><json:string>obstet gynecol</json:string><json:string>nodal involvement</json:string><json:string>uterine cervix</json:string><json:string>sentinel lymph nodes</json:string><json:string>sentinel node detection</json:string></teeft></keywords><author><json:item><name>LOBNA OULDAMER</name><affiliations><json:string>Department of Gynecology, François‐Rabelais University</json:string><json:string>National Health and Medical Research Institute (INSERM) Unit U1069</json:string></affiliations></json:item><json:item><name>SARA FICHET‐DJAVADIAN</name><affiliations><json:string>Department of Gynecology, François‐Rabelais University</json:string></affiliations></json:item><json:item><name>HENRI MARRET</name><affiliations><json:string>Department of Gynecology, François‐Rabelais University</json:string></affiliations></json:item><json:item><name>ISABELLE BARILLOT</name><affiliations><json:string>Department of Radiotherapy, François‐Rabelais University, Tours, France</json:string></affiliations></json:item><json:item><name>GILLES BODY</name><affiliations><json:string>Department of Gynecology, François‐Rabelais University</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Cervical cancer</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>inferior mesenteric artery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>lymphatic spread</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>para‐aortic lymphadenectomy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>skip metastases</value></json:item></subject><articleId><json:string>AOG1443</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>reviewArticle</json:string></originalGenre><abstract>Patients with early stage cervical cancer routinely undergo pelvic lymphadenectomy. 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© 2012 Nordic Federation of Societies of Obstetrics and Gynecology</licence></availability><date type="published" when="2012-08"></date></publicationStmt><notesStmt><note type="content-type" subtype="review-article" source="reviewArticle" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="review-article"><analytic><title level="a" type="main">Upper margin of para‐aortic lymphadenectomy in cervical cancer</title><title level="a" type="short">Skip metastases in cervical cancer</title><author xml:id="author-0000"><persName><forename type="first">LOBNA</forename><surname>OULDAMER</surname></persName><affiliation>Department of Gynecology, François‐Rabelais University</affiliation><affiliation>National Health and Medical Research Institute (INSERM) Unit U1069</affiliation></author><author xml:id="author-0001"><persName><forename type="first">SARA</forename><surname>FICHET‐DJAVADIAN</surname></persName><affiliation>Department of Gynecology, François‐Rabelais University</affiliation></author><author xml:id="author-0002"><persName><forename type="first">HENRI</forename><surname>MARRET</surname></persName><affiliation>Department of Gynecology, François‐Rabelais University</affiliation></author><author xml:id="author-0003"><persName><forename type="first">ISABELLE</forename><surname>BARILLOT</surname></persName><affiliation>Department of Radiotherapy, François‐Rabelais University, Tours, France<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">GILLES</forename><surname>BODY</surname></persName><affiliation>Department of Gynecology, François‐Rabelais University</affiliation></author><idno type="istex">589D4B3A77DF3454A8F69EACBD5ED9D2FE96D554</idno><idno type="DOI">10.1111/j.1600-0412.2012.01443.x</idno><idno type="unit">AOG1443</idno><idno type="toTypesetVersion">file:AOGS.AOG1443.pdf</idno></analytic><monogr><title level="j" type="main">Acta Obstetricia et Gynecologica Scandinavica</title><title level="j" type="alt">ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA</title><idno type="pISSN">0001-6349</idno><idno type="eISSN">1600-0412</idno><idno type="book-DOI">10.1111/(ISSN)1600-0412</idno><idno type="book-part-DOI">10.1111/aog.2012.91.issue-8</idno><idno type="product">AOGS</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">91</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="893">893</biblScope><biblScope unit="page" to="900">900</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract </head><p>Patients with early stage cervical cancer routinely undergo pelvic lymphadenectomy. A para‐aortic lymphadenectomy is only performed in the setting of grossly enlarged lymph nodes. In patients with locally advanced disease, a para‐aortic lymphadenectomy is indicated particularly when pelvic nodes are suspicious for disease on preoperative imaging. There is no consensus about the extent of para‐aortic lymph node dissection in these patients. We reviewed relevant literature to determine the extension of para‐aortic lymphadenectomy in patients with cervical cancer in order to establish whether lymph node dissection up to the inferior mesenteric artery or higher to the level of renal vessels should be performed. We performed a systematic search (PubMed; up to June 2011) to review systematic complete para‐aortic lymphadenectomy. According to our search, eight women (1.09%) had isolated para‐aortic node metastases, of which two had only lymph node metastases above the inferior mesenteric artery.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">Cervical cancer</term><term xml:id="k2">inferior mesenteric artery</term><term xml:id="k3">lymphatic spread</term><term xml:id="k4">para‐aortic lymphadenectomy</term><term xml:id="k5">skip metastases</term></keywords><classCode scheme="tocHeading1">Review Articles</classCode><classCode scheme="articleCategory">REVIEW ARTICLE</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/589D4B3A77DF3454A8F69EACBD5ED9D2FE96D554/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0412</doi><issn type="print">0001-6349</issn><issn type="electronic">1600-0412</issn><idGroup><id type="product" value="AOGS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA">Acta Obstetricia et Gynecologica Scandinavica</title></titleGroup></publicationMeta><publicationMeta level="part" position="08108"><doi origin="wiley">10.1111/aog.2012.91.issue-8</doi><numberingGroup><numbering type="journalVolume" number="91">91</numbering><numbering type="journalIssue" number="8">8</numbering></numberingGroup><coverDate startDate="2012-08">August 2012</coverDate></publicationMeta><publicationMeta level="unit" type="reviewArticle" position="3" status="forIssue"><doi origin="wiley">10.1111/j.1600-0412.2012.01443.x</doi><idGroup><id type="unit" value="AOG1443"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1">Review Articles</title><title type="articleCategory">REVIEW ARTICLE</title></titleGroup><copyright>© 2012 The Authors
<i>Acta Obstetricia et Gynecologica Scandinavica</i>© 2012 Nordic Federation of Societies of Obstetrics and Gynecology</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.6 mode:FullText" date="2012-07-16"></event><event type="publishedOnlineAccepted" date="2012-05-04"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-06-15"></event><event type="firstOnline" date="2012-06-15"></event><event type="publishedOnlineFinalForm" date="2012-07-16"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-04"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="893">893</numbering><numbering type="pageLast" number="900">900</numbering></numberingGroup><correspondenceTo>Lobna Ouldamer, Service de Gynécologie‐Obstétrique, CHU Bretonneau, 2 Boulevard Tonnelé, 37000 Tours, France. E‐mail: <email>louldamer@yahoo.fr</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:AOGS.AOG1443.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received: 2 August 2011, Accepted: 18 April 2012</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="1"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="65"></count><count type="linksCrossRef" number="49"></count></countGroup><titleGroup><title type="main">Upper margin of para‐aortic lymphadenectomy in cervical cancer</title><title type="shortAuthors">L. Ouldamer et al.</title><title type="short">Skip metastases in cervical cancer</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2"><personName><givenNames>LOBNA</givenNames><familyName>OULDAMER</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>SARA</givenNames><familyName>FICHET‐DJAVADIAN</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>HENRI</givenNames><familyName>MARRET</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a3"><personName><givenNames>ISABELLE</givenNames><familyName>BARILLOT</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>GILLES</givenNames><familyName>BODY</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Department of Gynecology, François‐Rabelais University</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>National Health and Medical Research Institute (INSERM) Unit U1069</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="FR"><unparsedAffiliation>Department of Radiotherapy, François‐Rabelais University, Tours, France</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Cervical cancer</keyword><keyword xml:id="k2">inferior mesenteric artery</keyword><keyword xml:id="k3">lymphatic spread</keyword><keyword xml:id="k4">para‐aortic lymphadenectomy</keyword><keyword xml:id="k5">skip metastases</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract </title><p>Patients with early stage cervical cancer routinely undergo pelvic lymphadenectomy. A para‐aortic lymphadenectomy is only performed in the setting of grossly enlarged lymph nodes. In patients with locally advanced disease, a para‐aortic lymphadenectomy is indicated particularly when pelvic nodes are suspicious for disease on preoperative imaging. There is no consensus about the extent of para‐aortic lymph node dissection in these patients. We reviewed relevant literature to determine the extension of para‐aortic lymphadenectomy in patients with cervical cancer in order to establish whether lymph node dissection up to the inferior mesenteric artery or higher to the level of renal vessels should be performed. We performed a systematic search (PubMed; up to June 2011) to review systematic complete para‐aortic lymphadenectomy. According to our search, eight women (1.09%) had isolated para‐aortic node metastases, of which two had only lymph node metastases above the inferior mesenteric artery.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="n-fnt-1"><p><b>Conflict of interest</b>
The authors have stated explicitly that there are no conflicts of interest in connection with this article.</p></note><note xml:id="n-fnt-2"><p>Please cite this article as: Ouldamer L, Fichet‐Djavadian S, Marret H, Barillot I, Body G. Upper margin of para‐aortic lymphadenectomy in cervical cancer. Acta Obstet Gynecol Scand 2012;91: DOI:<url href="http://dx.doi.org/10.1111/j.1600-0412.2012.01443.x">10.1111/j.1600‐0412.2012.01443.x</url></p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Upper margin of para‐aortic lymphadenectomy in cervical cancer</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Skip metastases in cervical cancer</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Upper margin of para‐aortic lymphadenectomy in cervical cancer</title></titleInfo><name type="personal"><namePart type="given">LOBNA</namePart><namePart type="family">OULDAMER</namePart><affiliation>Department of Gynecology, François‐Rabelais University</affiliation><affiliation>National Health and Medical Research Institute (INSERM) Unit U1069</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">SARA</namePart><namePart type="family">FICHET‐DJAVADIAN</namePart><affiliation>Department of Gynecology, François‐Rabelais University</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">HENRI</namePart><namePart type="family">MARRET</namePart><affiliation>Department of Gynecology, François‐Rabelais University</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">ISABELLE</namePart><namePart type="family">BARILLOT</namePart><affiliation>Department of Radiotherapy, François‐Rabelais University, Tours, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">GILLES</namePart><namePart type="family">BODY</namePart><affiliation>Department of Gynecology, François‐Rabelais University</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="reviewArticle"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-08</dateIssued><edition>Received: 2 August 2011, Accepted: 18 April 2012</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">1</extent><extent unit="references">65</extent></physicalDescription><abstract lang="en">Patients with early stage cervical cancer routinely undergo pelvic lymphadenectomy. A para‐aortic lymphadenectomy is only performed in the setting of grossly enlarged lymph nodes. In patients with locally advanced disease, a para‐aortic lymphadenectomy is indicated particularly when pelvic nodes are suspicious for disease on preoperative imaging. There is no consensus about the extent of para‐aortic lymph node dissection in these patients. We reviewed relevant literature to determine the extension of para‐aortic lymphadenectomy in patients with cervical cancer in order to establish whether lymph node dissection up to the inferior mesenteric artery or higher to the level of renal vessels should be performed. We performed a systematic search (PubMed; up to June 2011) to review systematic complete para‐aortic lymphadenectomy. According to our search, eight women (1.09%) had isolated para‐aortic node metastases, of which two had only lymph node metastases above the inferior mesenteric artery.</abstract><subject lang="en"><genre>keywords</genre><topic>Cervical cancer</topic><topic>inferior mesenteric artery</topic><topic>lymphatic spread</topic><topic>para‐aortic lymphadenectomy</topic><topic>skip metastases</topic></subject><relatedItem type="host"><titleInfo><title>Acta Obstetricia et Gynecologica Scandinavica</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>REVIEW ARTICLE</topic></subject><identifier type="ISSN">0001-6349</identifier><identifier type="eISSN">1600-0412</identifier><identifier type="DOI">10.1111/(ISSN)1600-0412</identifier><identifier type="PublisherID">AOGS</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>91</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>893</start><end>900</end><total>8</total></extent></part></relatedItem><identifier type="istex">589D4B3A77DF3454A8F69EACBD5ED9D2FE96D554</identifier><identifier type="DOI">10.1111/j.1600-0412.2012.01443.x</identifier><identifier type="ArticleID">AOG1443</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2012 The AuthorsActa Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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