Tailoring Pelvic Lymphadenectomy for Patients with Stage IA2, IB1, and IIA1 Uterine Cervical Cancer
Identifieur interne : 001779 ( Main/Exploration ); précédent : 001778; suivant : 001780Tailoring Pelvic Lymphadenectomy for Patients with Stage IA2, IB1, and IIA1 Uterine Cervical Cancer
Auteurs : Juan Zhou [République populaire de Chine] ; Jing Ran [République populaire de Chine] ; Zhen-Yu He [République populaire de Chine] ; Song Quan [République populaire de Chine] ; Qiong-Hua Chen [République populaire de Chine] ; San-Gang Wu [République populaire de Chine] ; Jia-Yuan Sun [République populaire de Chine]Source :
- Journal of Cancer [ 1837-9664 ] ; 2015.
Abstract
Url:
DOI: 10.7150/jca.10968
PubMed: 25767608
PubMed Central: 4349878
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Tailoring Pelvic Lymphadenectomy for Patients with Stage IA2, IB1, and IIA1 Uterine Cervical Cancer</title><author><name sortKey="Zhou, Juan" sort="Zhou, Juan" uniqKey="Zhou J" first="Juan" last="Zhou">Juan Zhou</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1. Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Ran, Jing" sort="Ran, Jing" uniqKey="Ran J" first="Jing" last="Ran">Jing Ran</name><affiliation wicri:level="3"><nlm:aff id="A2">2. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>2. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="He, Zhen Yu" sort="He, Zhen Yu" uniqKey="He Z" first="Zhen-Yu" last="He">Zhen-Yu He</name><affiliation wicri:level="3"><nlm:aff id="A3">3. Sun Yat-sen University Cancer Center, Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>3. Sun Yat-sen University Cancer Center, Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Quan, Song" sort="Quan, Song" uniqKey="Quan S" first="Song" last="Quan">Song Quan</name><affiliation wicri:level="3"><nlm:aff id="A2">2. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>2. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Chen, Qiong Hua" sort="Chen, Qiong Hua" uniqKey="Chen Q" first="Qiong-Hua" last="Chen">Qiong-Hua Chen</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1. Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Wu, San Gang" sort="Wu, San Gang" uniqKey="Wu S" first="San-Gang" last="Wu">San-Gang Wu</name><affiliation wicri:level="1"><nlm:aff id="A4">4. Xiamen Cancer Center, Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>4. Xiamen Cancer Center, Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Sun, Jia Yuan" sort="Sun, Jia Yuan" uniqKey="Sun J" first="Jia-Yuan" last="Sun">Jia-Yuan Sun</name><affiliation wicri:level="3"><nlm:aff id="A3">3. Sun Yat-sen University Cancer Center, Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>3. Sun Yat-sen University Cancer Center, Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25767608</idno><idno type="pmc">4349878</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349878</idno><idno type="RBID">PMC:4349878</idno><idno type="doi">10.7150/jca.10968</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">004037</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004037</idno><idno type="wicri:Area/Pmc/Curation">004036</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004036</idno><idno type="wicri:Area/Pmc/Checkpoint">000E35</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000E35</idno><idno type="wicri:Area/Ncbi/Merge">007133</idno><idno type="wicri:Area/Ncbi/Curation">007133</idno><idno type="wicri:Area/Ncbi/Checkpoint">007133</idno><idno type="wicri:Area/Main/Merge">001781</idno><idno type="wicri:Area/Main/Curation">001779</idno><idno type="wicri:Area/Main/Exploration">001779</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Tailoring Pelvic Lymphadenectomy for Patients with Stage IA2, IB1, and IIA1 Uterine Cervical Cancer</title><author><name sortKey="Zhou, Juan" sort="Zhou, Juan" uniqKey="Zhou J" first="Juan" last="Zhou">Juan Zhou</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1. Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Ran, Jing" sort="Ran, Jing" uniqKey="Ran J" first="Jing" last="Ran">Jing Ran</name><affiliation wicri:level="3"><nlm:aff id="A2">2. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>2. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="He, Zhen Yu" sort="He, Zhen Yu" uniqKey="He Z" first="Zhen-Yu" last="He">Zhen-Yu He</name><affiliation wicri:level="3"><nlm:aff id="A3">3. Sun Yat-sen University Cancer Center, Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>3. Sun Yat-sen University Cancer Center, Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Quan, Song" sort="Quan, Song" uniqKey="Quan S" first="Song" last="Quan">Song Quan</name><affiliation wicri:level="3"><nlm:aff id="A2">2. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>2. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Chen, Qiong Hua" sort="Chen, Qiong Hua" uniqKey="Chen Q" first="Qiong-Hua" last="Chen">Qiong-Hua Chen</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1. Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Wu, San Gang" sort="Wu, San Gang" uniqKey="Wu S" first="San-Gang" last="Wu">San-Gang Wu</name><affiliation wicri:level="1"><nlm:aff id="A4">4. Xiamen Cancer Center, Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>4. Xiamen Cancer Center, Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Sun, Jia Yuan" sort="Sun, Jia Yuan" uniqKey="Sun J" first="Jia-Yuan" last="Sun">Jia-Yuan Sun</name><affiliation wicri:level="3"><nlm:aff id="A3">3. Sun Yat-sen University Cancer Center, Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, People's Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>3. Sun Yat-sen University Cancer Center, Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Cancer</title><idno type="eISSN">1837-9664</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold>Purpose:</bold> The purpose of this study was to assess the risk factors for pelvic lymph node metastasis (PLNM) in patients with early-stage uterine cervical cancer.</p><p><bold>Methods:</bold> A total of 192 patients with early-stage uterine cervical cancer (FIGO stage IA2, IB1, and IIA1) receiving radical hysterectomy with pelvic lymphadenectomy were included in the statistical analysis.</p><p><bold>Results:</bold> Thirty-six patients (18.8%) developed PLNM, and the incidences of PLNM in patients with stage IA2, stage IB2, and stage IIA1 were 0% (0/6), 13.9% (20/144), and 38.1% (16/42), respectively. The most common location of PLNM was the obturator lymph node. Univariate analysis showed that stage IIA1 (p < 0.001), tumor size greater than 3 cm (p = 0.019), deep-full thickness stromal invasion (p < 0.001), and lymphovascular invasion (p = 0.001) were associated with PLNM. Multivariate analysis showed that deep or full-thickness stromal invasion and lymphovascular invasion were significantly and independently associated with PLNM (p < 0.05 for both). The incidence of PLNM was 34.9% and 28.7% in patients with deep-full thickness stromal invasion and lymphovascular invasion, respectively, but that was only 5.7% and 9.2% in patients with superficial-middle stromal invasion and absence of lymphovascular invasion, respectively.</p><p><bold>Conclusion:</bold> Patients with superficial-middle stromal invasion and without lymphovascular invasion may be avoided pelvic lymphadenectomy in stage IA2, IB1, IIA1 uterine cervical cancer.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chen, W" uniqKey="Chen W">W Chen</name></author><author><name sortKey="Zheng, R" uniqKey="Zheng R">R Zheng</name></author><author><name sortKey="Zhang, S" uniqKey="Zhang S">S Zhang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arbyn, M" uniqKey="Arbyn M">M Arbyn</name></author><author><name sortKey="Antoine, J" uniqKey="Antoine J">J Antoine</name></author><author><name 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Zhou</name></noRegion><name sortKey="Chen, Qiong Hua" sort="Chen, Qiong Hua" uniqKey="Chen Q" first="Qiong-Hua" last="Chen">Qiong-Hua Chen</name><name sortKey="He, Zhen Yu" sort="He, Zhen Yu" uniqKey="He Z" first="Zhen-Yu" last="He">Zhen-Yu He</name><name sortKey="Quan, Song" sort="Quan, Song" uniqKey="Quan S" first="Song" last="Quan">Song Quan</name><name sortKey="Ran, Jing" sort="Ran, Jing" uniqKey="Ran J" first="Jing" last="Ran">Jing Ran</name><name sortKey="Sun, Jia Yuan" sort="Sun, Jia Yuan" uniqKey="Sun J" first="Jia-Yuan" last="Sun">Jia-Yuan Sun</name><name sortKey="Wu, San Gang" sort="Wu, San Gang" uniqKey="Wu S" first="San-Gang" last="Wu">San-Gang Wu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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