Feasability of retroperitoneal pelvic lymph node exploration in cervical carcinoma. Assessment of morbidity in 33 cases treated by combined radio-surgery or definitive radiotherapy
Identifieur interne : 00BE66 ( Main/Exploration ); précédent : 00BE65; suivant : 00BE67Feasability of retroperitoneal pelvic lymph node exploration in cervical carcinoma. Assessment of morbidity in 33 cases treated by combined radio-surgery or definitive radiotherapy
Auteurs : Michel Bolla [France] ; Jacques Salvat [France] ; Roger Sarrazin [France] ; Jean-François Dyon [France] ; Emmanuel Berland [France] ; Marie Hélène Schmidt [France] ; Joanne De Cornelier [France] ; Thinh Dang Huy Quoc [France] ; Isabelle Rolachon [France]Source :
- Radiotherapy and Oncology [ 0167-8140 ] ; 1996.
Abstract
Background and purposes: Laparoscopic modalities by selective biopsies permit a better assessment of the pelvic lymph nodes status than imaging procedures in cervix carcinoma. They could enable the radiation oncologist to adapt the target volume of external irradiation, provided the feasibility of such procedures is good and the toxicity reduced as much as possible. Material and methods: From June 1980 to May 1993, 52 women with a mean age of 49, underwent a retroperitoneal pelvic lymph node laparoscopic procedure for cervix carcinoma classified according to FIGO as stages IA2 (14), IB (12), IIA (6), IIB (14), IIIB (3) and IVA (3). Two techniques were used: retroperitoneoscopy (RPS) in 16 cases, and a panoramic retroperitoneal pelviscopy (PRPP) in 36 cases. Results: Intra-operative and post-surgical morbidity were equivalent in the two procedures. Among the 33 patients who had external irradiation, one Grade 3 urinary late morbidity (3%) due to an overtreatment was observed; no Grade 3 4 morbidity of the gastro-intestinal tract, no lymphoedema of the lower extremities, no parietal tumor cells implantation were noticed. Conclusions: These procedures can be used safely to better know the prognosis and to define the pelvic lymph node planning target volume and its radiation management with accuracy.
Url:
DOI: 10.1016/0167-8140(96)01790-2
Affiliations:
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They could enable the radiation oncologist to adapt the target volume of external irradiation, provided the feasibility of such procedures is good and the toxicity reduced as much as possible. Material and methods: From June 1980 to May 1993, 52 women with a mean age of 49, underwent a retroperitoneal pelvic lymph node laparoscopic procedure for cervix carcinoma classified according to FIGO as stages IA2 (14), IB (12), IIA (6), IIB (14), IIIB (3) and IVA (3). Two techniques were used: retroperitoneoscopy (RPS) in 16 cases, and a panoramic retroperitoneal pelviscopy (PRPP) in 36 cases. Results: Intra-operative and post-surgical morbidity were equivalent in the two procedures. Among the 33 patients who had external irradiation, one Grade 3 urinary late morbidity (3%) due to an overtreatment was observed; no Grade 3 4 morbidity of the gastro-intestinal tract, no lymphoedema of the lower extremities, no parietal tumor cells implantation were noticed. Conclusions: These procedures can be used safely to better know the prognosis and to define the pelvic lymph node planning target volume and its radiation management with accuracy.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Grenoble</li><li>Grenoble Cédex 9</li></settlement></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Bolla, Michel" sort="Bolla, Michel" uniqKey="Bolla M" first="Michel" last="Bolla">Michel Bolla</name></region><name sortKey="Berland, Emmanuel" sort="Berland, Emmanuel" uniqKey="Berland E" first="Emmanuel" last="Berland">Emmanuel Berland</name><name sortKey="De Cornelier, Joanne" sort="De Cornelier, Joanne" uniqKey="De Cornelier J" first="Joanne" last="De Cornelier">Joanne De Cornelier</name><name sortKey="Dyon, Jean Francois" sort="Dyon, Jean Francois" uniqKey="Dyon J" first="Jean-François" last="Dyon">Jean-François Dyon</name><name sortKey="Quoc, Thinh Dang Huy" sort="Quoc, Thinh Dang Huy" uniqKey="Quoc T" first="Thinh Dang Huy" last="Quoc">Thinh Dang Huy Quoc</name><name sortKey="Rolachon, Isabelle" sort="Rolachon, Isabelle" uniqKey="Rolachon I" first="Isabelle" last="Rolachon">Isabelle Rolachon</name><name sortKey="Salvat, Jacques" sort="Salvat, Jacques" uniqKey="Salvat J" first="Jacques" last="Salvat">Jacques Salvat</name><name sortKey="Sarrazin, Roger" sort="Sarrazin, Roger" uniqKey="Sarrazin R" first="Roger" last="Sarrazin">Roger Sarrazin</name><name sortKey="Schmidt, Marie Helene" sort="Schmidt, Marie Helene" uniqKey="Schmidt M" first="Marie Hélène" last="Schmidt">Marie Hélène Schmidt</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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