Pattern of lymph node metastasis and the optimal extent of pelvic lymphadenectomy in FIGO stage IB cervical cancer
Identifieur interne : 003105 ( Istex/Corpus ); précédent : 003104; suivant : 003106Pattern of lymph node metastasis and the optimal extent of pelvic lymphadenectomy in FIGO stage IB cervical cancer
Auteurs : Jong-Min Lee ; Kwang-Beom Lee ; Seon-Kyung Lee ; Chan-Yong ParkSource :
- Journal of Obstetrics and Gynaecology Research [ 1341-8076 ] ; 2007-06.
Abstract
Aim: To evaluate the distribution pattern of lymph node metastasis and to determine the optimal extent of pelvic lymphadenectomy (LA) in FIGO stage IB cervical cancer.
Url:
DOI: 10.1111/j.1447-0756.2007.00526.x
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type="first">Jong‐Min</forename><surname>Lee</surname></persName><affiliation>Department of Obstetrics and Gynecology, East‐West Neo Medical Center, Kyung Hee University, Seoul, and</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Kwang‐Beom</forename><surname>Lee</surname></persName><affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Inchon, South Korea</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Seon‐Kyung</forename><surname>Lee</surname></persName><affiliation>Department of Obstetrics and Gynecology, East‐West Neo Medical Center, Kyung Hee University, Seoul, and</affiliation></author><author xml:id="author-0003" role="corresp"><persName><forename type="first">Chan‐Yong</forename><surname>Park</surname></persName><affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Inchon, South Korea</affiliation><affiliation>Dr Chan‐Yong Park, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, 1198 Guwol‐dong, Namdong‐gu, Inchon 405‐760, South Korea. Email: pcy0523@unitel.co.kr</affiliation></author><idno type="istex">69132129740650ACFA7C2EF4B0993CBABE9A04FE</idno><idno type="DOI">10.1111/j.1447-0756.2007.00526.x</idno><idno type="unit">JOG526</idno><idno type="toTypesetVersion">file:JOG.JOG526.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Obstetrics and Gynaecology Research</title><title level="j" type="alt">JOURNAL OF OBSTETRICS GYNAECOLOGY RESEARCH</title><idno type="pISSN">1341-8076</idno><idno type="eISSN">1447-0756</idno><idno type="book-DOI">10.1111/(ISSN)1447-0756</idno><idno type="book-part-DOI">10.1111/jog.2007.33.issue-3</idno><idno type="product">JOG</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">33</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="288">288</biblScope><biblScope unit="page" to="293">293</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2007-06"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Aim: </hi> To evaluate the distribution pattern of lymph node metastasis and to determine the optimal extent of pelvic lymphadenectomy (LA) in FIGO stage IB cervical cancer.</p><p><hi rend="bold">Methods: </hi> The medical records of 187 patients with FIGO stage IB cervical cancer from March 1996 to December 2002 were reviewed retrospectively. The distribution pattern and risk factors of lymph node metastases were analyzed in 31 patients with lymph node metastases confirmed surgically. One hundred patients, who underwent type III hysterectomy with pelvic LA but did not receive any adjuvant treatment, were analyzed to evaluate whether the extent of LA affected the prognosis of FIGO stage IB cervical cancer. Type I LA included the external iliac nodes, hypogastric nodes, obturator nodes, and parametrial nodes. Type II LA included the pelvic nodes described in type I LA, the common iliac nodes, gluteal nodes, deep inguinal nodes and sometimes the presacral nodes.</p><p><hi rend="bold">Results: </hi> Solitary lymph node metastasis confined to one node group was seen in the obturator, external iliac or hypogastric lymph nodes. All patients with lymph node metastases at multiple sites had metastasis in at least one of these lymph‐node groups. There was no significant difference in disease‐free survival and overall survival in patients without pathologic high‐risk factors according to the type of pelvic LA.</p><p><hi rend="bold">Conclusion: </hi> The extent of LA should be adjusted to reduce complications and not to affect adversely the prognosis of FIGO stage IB cervical cancer patients without pathologic high‐risk factors.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">cervical cancer</term><term xml:id="k2">lymph node metastasis</term><term xml:id="k3">lymphadenectomy</term><term xml:id="k4">prognosis</term><term xml:id="k5">stage IB</term></keywords><classCode scheme="tocHeading1">Clinical Investigations</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/69132129740650ACFA7C2EF4B0993CBABE9A04FE/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 Asia</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1447-0756</doi><issn type="print">1341-8076</issn><issn type="electronic">1447-0756</issn><idGroup><id type="product" value="JOG"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF OBSTETRICS GYNAECOLOGY RESEARCH">Journal of Obstetrics and Gynaecology Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="06003"><doi origin="wiley">10.1111/jog.2007.33.issue-3</doi><numberingGroup><numbering type="journalVolume" number="33">33</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2007-06">June 2007</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="13" status="forIssue"><doi origin="wiley">10.1111/j.1447-0756.2007.00526.x</doi><idGroup><id type="unit" value="JOG526"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="tocHeading1">Clinical Investigations</title></titleGroup><eventGroup><event type="firstOnline" date="2007-06-15"></event><event type="publishedOnlineFinalForm" date="2007-06-15"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="288">288</numbering><numbering type="pageLast" number="293">293</numbering></numberingGroup><correspondenceTo>Dr Chan‐Yong Park, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, 1198 Guwol‐dong, Namdong‐gu, Inchon 405‐760, South Korea. Email: <email>pcy0523@unitel.co.kr</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JOG.JOG526.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received: September 7 2006.Accepted: October 31 2006.</unparsedEditorialHistory><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="4"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="23"></count><count type="wordTotal" number="2502"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Pattern of lymph node metastasis and the optimal extent of pelvic lymphadenectomy in FIGO stage IB cervical cancer</title><title type="shortAuthors">J.‐M. Lee <i>et al</i>.</title><title type="short">Pattern of LNM and extent of LA</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Jong‐Min</givenNames><familyName>Lee</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Kwang‐Beom</givenNames><familyName>Lee</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Seon‐Kyung</givenNames><familyName>Lee</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2" corresponding="yes"><personName><givenNames>Chan‐Yong</givenNames><familyName>Park</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Department of Obstetrics and Gynecology, East‐West Neo Medical Center, Kyung Hee University, Seoul, and</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Inchon, South Korea</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">cervical cancer</keyword><keyword xml:id="k2">lymph node metastasis</keyword><keyword xml:id="k3">lymphadenectomy</keyword><keyword xml:id="k4">prognosis</keyword><keyword xml:id="k5">stage IB</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Aim: </b> To evaluate the distribution pattern of lymph node metastasis and to determine the optimal extent of pelvic lymphadenectomy (LA) in FIGO stage IB cervical cancer.</p><p><b>Methods: </b> The medical records of 187 patients with FIGO stage IB cervical cancer from March 1996 to December 2002 were reviewed retrospectively. The distribution pattern and risk factors of lymph node metastases were analyzed in 31 patients with lymph node metastases confirmed surgically. One hundred patients, who underwent type III hysterectomy with pelvic LA but did not receive any adjuvant treatment, were analyzed to evaluate whether the extent of LA affected the prognosis of FIGO stage IB cervical cancer. Type I LA included the external iliac nodes, hypogastric nodes, obturator nodes, and parametrial nodes. Type II LA included the pelvic nodes described in type I LA, the common iliac nodes, gluteal nodes, deep inguinal nodes and sometimes the presacral nodes.</p><p><b>Results: </b> Solitary lymph node metastasis confined to one node group was seen in the obturator, external iliac or hypogastric lymph nodes. All patients with lymph node metastases at multiple sites had metastasis in at least one of these lymph‐node groups. There was no significant difference in disease‐free survival and overall survival in patients without pathologic high‐risk factors according to the type of pelvic LA.</p><p><b>Conclusion: </b> The extent of LA should be adjusted to reduce complications and not to affect adversely the prognosis of FIGO stage IB cervical cancer patients without pathologic high‐risk factors.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Pattern of lymph node metastasis and the optimal extent of pelvic lymphadenectomy in FIGO stage IB cervical cancer</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Pattern of LNM and extent of LA</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Pattern of lymph node metastasis and the optimal extent of pelvic lymphadenectomy in FIGO stage IB cervical cancer</title></titleInfo><name type="personal"><namePart type="given">Jong‐Min</namePart><namePart type="family">Lee</namePart><affiliation>Department of Obstetrics and Gynecology, East‐West Neo Medical Center, Kyung Hee University, Seoul, and</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kwang‐Beom</namePart><namePart type="family">Lee</namePart><affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Inchon, South Korea</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Seon‐Kyung</namePart><namePart type="family">Lee</namePart><affiliation>Department of Obstetrics and Gynecology, East‐West Neo Medical Center, Kyung Hee University, Seoul, and</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Chan‐Yong</namePart><namePart type="family">Park</namePart><affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Inchon, South Korea</affiliation><affiliation>E-mail: pcy0523@unitel.co.kr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Asia</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2007-06</dateIssued><edition>Received: September 7 2006.Accepted: October 31 2006.</edition><copyrightDate encoding="w3cdtf">2007</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="figures">2</extent><extent unit="tables">4</extent><extent unit="references">23</extent><extent unit="words">2502</extent></physicalDescription><abstract>Aim: To evaluate the distribution pattern of lymph node metastasis and to determine the optimal extent of pelvic lymphadenectomy (LA) in FIGO stage IB cervical cancer.</abstract><abstract>Methods: The medical records of 187 patients with FIGO stage IB cervical cancer from March 1996 to December 2002 were reviewed retrospectively. The distribution pattern and risk factors of lymph node metastases were analyzed in 31 patients with lymph node metastases confirmed surgically. One hundred patients, who underwent type III hysterectomy with pelvic LA but did not receive any adjuvant treatment, were analyzed to evaluate whether the extent of LA affected the prognosis of FIGO stage IB cervical cancer. Type I LA included the external iliac nodes, hypogastric nodes, obturator nodes, and parametrial nodes. Type II LA included the pelvic nodes described in type I LA, the common iliac nodes, gluteal nodes, deep inguinal nodes and sometimes the presacral nodes.</abstract><abstract>Results: Solitary lymph node metastasis confined to one node group was seen in the obturator, external iliac or hypogastric lymph nodes. All patients with lymph node metastases at multiple sites had metastasis in at least one of these lymph‐node groups. There was no significant difference in disease‐free survival and overall survival in patients without pathologic high‐risk factors according to the type of pelvic LA.</abstract><abstract>Conclusion: The extent of LA should be adjusted to reduce complications and not to affect adversely the prognosis of FIGO stage IB cervical cancer patients without pathologic high‐risk factors.</abstract><subject lang="en"><genre>keywords</genre><topic>cervical cancer</topic><topic>lymph node metastasis</topic><topic>lymphadenectomy</topic><topic>prognosis</topic><topic>stage IB</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Obstetrics and Gynaecology Research</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1341-8076</identifier><identifier type="eISSN">1447-0756</identifier><identifier type="DOI">10.1111/(ISSN)1447-0756</identifier><identifier type="PublisherID">JOG</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>33</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>288</start><end>293</end><total>6</total></extent></part></relatedItem><identifier type="istex">69132129740650ACFA7C2EF4B0993CBABE9A04FE</identifier><identifier type="DOI">10.1111/j.1447-0756.2007.00526.x</identifier><identifier type="ArticleID">JOG526</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Asia</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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