Incidence of metastasis in circumflex iliac nodes distal to the external iliac nodes in cervical cancer
Identifieur interne : 000F73 ( Main/Exploration ); précédent : 000F72; suivant : 000F74Incidence of metastasis in circumflex iliac nodes distal to the external iliac nodes in cervical cancer
Auteurs : Sho Takeshita [Japon] ; Yukiharu Todo [Japon] ; Kazuhira Okamoto [Japon] ; Satoko Sudo [Japon] ; Katsushige Yamashiro [Japon] ; Hidenori Kato [Japon]Source :
- Journal of Gynecologic Oncology [ 2005-0380 ] ; 2016.
Abstract
A causal relationship between removal of circumflex iliac nodes distal to the external iliac nodes (CINDEIN) and lower leg edema has been recently suggested. The aim of this study was to elucidate the incidence of CINDEIN metastasis in cervical cancer.
A retrospective chart review was carried out for 531 patients with cervical cancer who underwent lymph node dissection between 1993 and 2014. CINDEIN metastasis was pathologically identified by microscopic investigation. After 2007, sentinel lymph node biopsy was performed selectively in patients with non-bulky cervical cancer. The sentinel node was identified using 99mTc-phytate and by scanning the pelvic cavity with a γ probe.
Two hundred and ninety-seven patients (55.9%) underwent CINDEIN dissection and 234 (44.1%) did not. The percentage of International Federation of Gynecology and Obstetrics stage IIb to IV (42.4% vs. 23.5%, p<0.001) was significantly higher in patients who underwent CINDEIN dissection than those who did not. CINDEIN metastasis was identified in 1.9% overall and in 3.4% of patients who underwent CINDEIN dissection. For patients with stage Ia to IIa disease, CINDEIN metastasis was identified in 0.6% overall and in 1.2% of patients who underwent CINDEIN dissection. Of 115 patients with sentinel node mapping, only one (0.9%) had CINDEIN detected as a sentinel node. In this case, the other three lymph nodes were concurrently detected as sentinel lymph nodes.
CINDEIN dissection can be eliminated in patients with stage Ia to IIa disease. CINDEIN might not be regional lymph nodes in cervical cancer.
Url:
DOI: 10.3802/jgo.2016.27.e42
PubMed: 27102250
PubMed Central: 4864518
Affiliations:
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type="wicri:Area/Main/Exploration">000F73</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Incidence of metastasis in circumflex iliac nodes distal to the external iliac nodes in cervical cancer</title><author><name sortKey="Takeshita, Sho" sort="Takeshita, Sho" uniqKey="Takeshita S" first="Sho" last="Takeshita">Sho Takeshita</name><affiliation wicri:level="1"><nlm:aff id="A1">Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, Sapporo,<country>Japan</country>.</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Todo, Yukiharu" sort="Todo, Yukiharu" uniqKey="Todo Y" first="Yukiharu" last="Todo">Yukiharu Todo</name><affiliation wicri:level="1"><nlm:aff id="A1">Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, Sapporo,<country>Japan</country>.</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Okamoto, Kazuhira" sort="Okamoto, Kazuhira" uniqKey="Okamoto K" first="Kazuhira" last="Okamoto">Kazuhira Okamoto</name><affiliation wicri:level="1"><nlm:aff id="A1">Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, Sapporo,<country>Japan</country>.</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Sudo, Satoko" sort="Sudo, Satoko" uniqKey="Sudo S" first="Satoko" last="Sudo">Satoko Sudo</name><affiliation wicri:level="1"><nlm:aff id="A1">Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, Sapporo,<country>Japan</country>.</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Yamashiro, Katsushige" sort="Yamashiro, Katsushige" uniqKey="Yamashiro K" first="Katsushige" last="Yamashiro">Katsushige Yamashiro</name><affiliation wicri:level="1"><nlm:aff id="A2">Division of Pathology, National Hospital Organization, Hokkaido Cancer Center, Sapporo,<country>Japan</country>.</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kato, Hidenori" sort="Kato, Hidenori" uniqKey="Kato H" first="Hidenori" last="Kato">Hidenori Kato</name><affiliation wicri:level="1"><nlm:aff id="A1">Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, Sapporo,<country>Japan</country>.</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Gynecologic Oncology</title><idno type="ISSN">2005-0380</idno><idno type="eISSN">2005-0399</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>A causal relationship between removal of circumflex iliac nodes distal to the external iliac nodes (CINDEIN) and lower leg edema has been recently suggested. The aim of this study was to elucidate the incidence of CINDEIN metastasis in cervical cancer.</p></sec><sec><title>Methods</title><p>A retrospective chart review was carried out for 531 patients with cervical cancer who underwent lymph node dissection between 1993 and 2014. CINDEIN metastasis was pathologically identified by microscopic investigation. After 2007, sentinel lymph node biopsy was performed selectively in patients with non-bulky cervical cancer. The sentinel node was identified using <sup>99m</sup>Tc-phytate and by scanning the pelvic cavity with a γ probe.</p></sec><sec><title>Results</title><p>Two hundred and ninety-seven patients (55.9%) underwent CINDEIN dissection and 234 (44.1%) did not. The percentage of International Federation of Gynecology and Obstetrics stage IIb to IV (42.4% vs. 23.5%, p<0.001) was significantly higher in patients who underwent CINDEIN dissection than those who did not. CINDEIN metastasis was identified in 1.9% overall and in 3.4% of patients who underwent CINDEIN dissection. For patients with stage Ia to IIa disease, CINDEIN metastasis was identified in 0.6% overall and in 1.2% of patients who underwent CINDEIN dissection. Of 115 patients with sentinel node mapping, only one (0.9%) had CINDEIN detected as a sentinel node. In this case, the other three lymph nodes were concurrently detected as sentinel lymph nodes.</p></sec><sec><title>Conclusion</title><p>CINDEIN dissection can be eliminated in patients with stage Ia to IIa disease. CINDEIN might not be regional lymph nodes in cervical cancer.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F Bray</name></author><author><name sortKey="Center, Mm" uniqKey="Center M">MM Center</name></author><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Ward, E" uniqKey="Ward E">E Ward</name></author><author><name sortKey="Forman, D" uniqKey="Forman D">D Forman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Siegel, Rl" uniqKey="Siegel R">RL Siegel</name></author><author><name sortKey="Miller, Kd" uniqKey="Miller K">KD Miller</name></author><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Abu Rustum, Nr" uniqKey="Abu Rustum N">NR Abu-Rustum</name></author><author><name sortKey="Barakat, Rr" uniqKey="Barakat R">RR Barakat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hoffman, Ms" uniqKey="Hoffman M">MS Hoffman</name></author><author><name sortKey="Parsons, M" uniqKey="Parsons M">M Parsons</name></author><author><name sortKey="Gunasekaran, S" uniqKey="Gunasekaran S">S Gunasekaran</name></author><author><name sortKey="Cavanagh, D" uniqKey="Cavanagh D">D Cavanagh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ohba, Y" uniqKey="Ohba Y">Y Ohba</name></author><author><name sortKey="Todo, Y" uniqKey="Todo Y">Y Todo</name></author><author><name sortKey="Kobayashi, N" uniqKey="Kobayashi N">N Kobayashi</name></author><author><name sortKey="Kaneuchi, M" uniqKey="Kaneuchi M">M Kaneuchi</name></author><author><name sortKey="Watari, H" uniqKey="Watari H">H Watari</name></author><author><name sortKey="Takeda, M" uniqKey="Takeda M">M Takeda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsumoto, K" uniqKey="Matsumoto K">K Matsumoto</name></author><author><name sortKey="Yoshikawa, H" uniqKey="Yoshikawa H">H Yoshikawa</name></author><author><name sortKey="Yasugi, T" uniqKey="Yasugi T">T Yasugi</name></author><author><name sortKey="Onda, T" uniqKey="Onda T">T Onda</name></author><author><name sortKey="Nakagawa, S" uniqKey="Nakagawa S">S Nakagawa</name></author><author><name sortKey="Yamada, M" uniqKey="Yamada M">M Yamada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kodama, J" uniqKey="Kodama J">J Kodama</name></author><author><name sortKey="Seki, N" uniqKey="Seki N">N Seki</name></author><author><name sortKey="Ojima, Y" uniqKey="Ojima Y">Y Ojima</name></author><author><name sortKey="Nakamura, K" uniqKey="Nakamura K">K Nakamura</name></author><author><name sortKey="Hongo, A" uniqKey="Hongo A">A Hongo</name></author><author><name sortKey="Hiramatsu, Y" uniqKey="Hiramatsu Y">Y Hiramatsu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Konno, Y" uniqKey="Konno Y">Y Konno</name></author><author><name sortKey="Todo, Y" uniqKey="Todo Y">Y Todo</name></author><author><name sortKey="Minobe, S" uniqKey="Minobe S">S Minobe</name></author><author><name sortKey="Kato, H" uniqKey="Kato H">H Kato</name></author><author><name sortKey="Okamoto, K" uniqKey="Okamoto K">K Okamoto</name></author><author><name sortKey="Sudo, S" uniqKey="Sudo S">S Sudo</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Todo, Y" uniqKey="Todo Y">Y Todo</name></author><author><name sortKey="Yamamoto, R" uniqKey="Yamamoto R">R Yamamoto</name></author><author><name sortKey="Minobe, S" uniqKey="Minobe S">S Minobe</name></author><author><name sortKey="Suzuki, Y" uniqKey="Suzuki Y">Y Suzuki</name></author><author><name sortKey="Takeshi, U" uniqKey="Takeshi U">U Takeshi</name></author><author><name sortKey="Nakatani, M" uniqKey="Nakatani M">M Nakatani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Todo, Y" uniqKey="Todo Y">Y Todo</name></author><author><name sortKey="Yamazaki, H" uniqKey="Yamazaki H">H Yamazaki</name></author><author><name sortKey="Takeshita, S" uniqKey="Takeshita S">S Takeshita</name></author><author><name sortKey="Ohba, Y" uniqKey="Ohba Y">Y Ohba</name></author><author><name sortKey="Sudo, S" uniqKey="Sudo S">S Sudo</name></author><author><name sortKey="Minobe, S" uniqKey="Minobe S">S Minobe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hareyama, H" uniqKey="Hareyama H">H Hareyama</name></author><author><name sortKey="Hada, K" uniqKey="Hada K">K Hada</name></author><author><name sortKey="Goto, K" uniqKey="Goto K">K Goto</name></author><author><name sortKey="Watanabe, S" uniqKey="Watanabe S">S Watanabe</name></author><author><name sortKey="Hakoyama, M" uniqKey="Hakoyama M">M Hakoyama</name></author><author><name sortKey="Oku, K" uniqKey="Oku K">K Oku</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hareyama, H" uniqKey="Hareyama H">H Hareyama</name></author><author><name sortKey="Ito, K" uniqKey="Ito K">K Ito</name></author><author><name sortKey="Hada, K" uniqKey="Hada K">K Hada</name></author><author><name sortKey="Uchida, A" uniqKey="Uchida A">A Uchida</name></author><author><name sortKey="Hayakashi, Y" uniqKey="Hayakashi Y">Y Hayakashi</name></author><author><name sortKey="Hirayama, E" uniqKey="Hirayama E">E Hirayama</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sakuragi, N" uniqKey="Sakuragi N">N Sakuragi</name></author><author><name sortKey="Satoh, C" uniqKey="Satoh C">C Satoh</name></author><author><name sortKey="Takeda, N" uniqKey="Takeda N">N Takeda</name></author><author><name sortKey="Hareyama, H" uniqKey="Hareyama H">H Hareyama</name></author><author><name sortKey="Takeda, M" uniqKey="Takeda M">M Takeda</name></author><author><name sortKey="Yamamoto, R" uniqKey="Yamamoto R">R Yamamoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yin, Yj" uniqKey="Yin Y">YJ Yin</name></author><author><name sortKey="Li, Hq" uniqKey="Li H">HQ Li</name></author><author><name sortKey="Sheng, Xg" uniqKey="Sheng X">XG Sheng</name></author><author><name sortKey="Li, Xl" uniqKey="Li X">XL Li</name></author><author><name sortKey="Wang, X" uniqKey="Wang X">X Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Levenback, C" uniqKey="Levenback C">C Levenback</name></author><author><name sortKey="Coleman, Rl" uniqKey="Coleman R">RL Coleman</name></author><author><name sortKey="Burke, Tw" uniqKey="Burke T">TW Burke</name></author><author><name sortKey="Lin, Wm" uniqKey="Lin W">WM Lin</name></author><author><name sortKey="Erdman, W" uniqKey="Erdman W">W Erdman</name></author><author><name sortKey="Deavers, M" uniqKey="Deavers M">M Deavers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ogawa, S" uniqKey="Ogawa S">S Ogawa</name></author><author><name sortKey="Kobayashi, H" uniqKey="Kobayashi H">H Kobayashi</name></author><author><name sortKey="Amada, S" uniqKey="Amada S">S Amada</name></author><author><name sortKey="Yahata, H" uniqKey="Yahata H">H Yahata</name></author><author><name sortKey="Sonoda, K" uniqKey="Sonoda K">K Sonoda</name></author><author><name sortKey="Abe, K" uniqKey="Abe K">K Abe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rob, L" uniqKey="Rob L">L Rob</name></author><author><name sortKey="Strnad, P" uniqKey="Strnad P">P Strnad</name></author><author><name sortKey="Robova, H" uniqKey="Robova H">H Robova</name></author><author><name sortKey="Charvat, M" uniqKey="Charvat M">M Charvat</name></author><author><name sortKey="Pluta, M" uniqKey="Pluta M">M Pluta</name></author><author><name sortKey="Schlegerova, D" uniqKey="Schlegerova D">D Schlegerova</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ouldamer, L" uniqKey="Ouldamer L">L Ouldamer</name></author><author><name sortKey="Marret, H" uniqKey="Marret H">H Marret</name></author><author><name sortKey="Acker, O" uniqKey="Acker O">O Acker</name></author><author><name sortKey="Barillot, I" uniqKey="Barillot I">I Barillot</name></author><author><name sortKey="Body, G" uniqKey="Body G">G Body</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Takeshita, Sho" sort="Takeshita, Sho" uniqKey="Takeshita S" first="Sho" last="Takeshita">Sho Takeshita</name></noRegion><name sortKey="Kato, Hidenori" sort="Kato, Hidenori" uniqKey="Kato H" first="Hidenori" last="Kato">Hidenori Kato</name><name sortKey="Okamoto, Kazuhira" sort="Okamoto, Kazuhira" uniqKey="Okamoto K" first="Kazuhira" last="Okamoto">Kazuhira Okamoto</name><name sortKey="Sudo, Satoko" sort="Sudo, Satoko" uniqKey="Sudo S" first="Satoko" last="Sudo">Satoko Sudo</name><name sortKey="Todo, Yukiharu" sort="Todo, Yukiharu" uniqKey="Todo Y" first="Yukiharu" last="Todo">Yukiharu Todo</name><name sortKey="Yamashiro, Katsushige" sort="Yamashiro, Katsushige" uniqKey="Yamashiro K" first="Katsushige" last="Yamashiro">Katsushige Yamashiro</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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