Surgical Management of Groin Node Metastases from Nonvulvar Gynecologic Malignancies
Identifieur interne : 00CE48 ( Main/Exploration ); précédent : 00CE47; suivant : 00CE49Surgical Management of Groin Node Metastases from Nonvulvar Gynecologic Malignancies
Auteurs : Michael A. Finan [États-Unis] ; Mitchel S. Hoffman [États-Unis] ; James V. Fiorica [États-Unis] ; William S. Roberts [États-Unis] ; Noreen Gleeson [États-Unis] ; Desmond P. J. Barton [États-Unis] ; Denis Cavanagh [États-Unis]Source :
- Gynecologic Oncology [ 0090-8258 ] ; 1993.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Adult, Aged, Female, Genital Neoplasms, Female (complications), Genital Neoplasms, Female (mortality), Genital Neoplasms, Female (pathology), Genital Neoplasms, Female (surgery), Groin (surgery), Humans, Lymph Node Excision, Lymphatic Metastasis, Middle Aged, Time Factors, Wound Infection (complications).
- MESH :
- complications : Genital Neoplasms, Female, Wound Infection.
- mortality : Genital Neoplasms, Female.
- pathology : Genital Neoplasms, Female.
- surgery : Genital Neoplasms, Female, Groin.
- Adult, Aged, Female, Humans, Lymph Node Excision, Lymphatic Metastasis, Middle Aged, Time Factors.
Abstract
Metastatic disease from nonvulvar gynecologic malignancies involving the groin lymph nodes is uncommon. The purpose of this study is to analyze the morbidity, recurrence-free interval, and survival in this group of surgically managed patients. Twenty patients underwent surgical resection of metastatic disease involving the groin lymph nodes between January 1, 1984 and December 31, 1991. Individual factors which have an impact on morbidity, recurrence, and survival were analyzed. Two patients developed wound infection and 2 had wound breakdown. Both of the patients with postoperative wound infection had clinically fixed nodes. None of the patients developed deep venous thrombosis. Long-term complications included lymphocysts in 2 patients and lymphedema in 4 patients. The median local disease progression-free interval was 10 months, with 5 of 20 patients developing local recurrence. The overall median survival was 11 months, with an adjusted 5-year survival rate of 11.5%. Patients with clinically fixed lymph nodes had a shorter median survival (3.6 months) than those with clinically mobile (median, 22.6 months) nodes (P = 0.0032). Metastatic disease from carcinoma of the ovary, fallopian tube, uterus, and cervix involving the groin lymph nodes can be managed safely and effectively with surgical resection. The acute and long-term morbidity is acceptable. Local control can be achieved in the majority of patients.
Url:
DOI: 10.1006/gyno.1993.1278
Affiliations:
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<term>Genital Neoplasms, Female (complications)</term>
<term>Genital Neoplasms, Female (mortality)</term>
<term>Genital Neoplasms, Female (pathology)</term>
<term>Genital Neoplasms, Female (surgery)</term>
<term>Groin (surgery)</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymphatic Metastasis</term>
<term>Middle Aged</term>
<term>Time Factors</term>
<term>Wound Infection (complications)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aine ()</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infection de plaie ()</term>
<term>Lymphadénectomie</term>
<term>Métastase lymphatique</term>
<term>Sujet âgé</term>
<term>Tumeurs de l'appareil génital féminin ()</term>
<term>Tumeurs de l'appareil génital féminin (anatomopathologie)</term>
<term>Tumeurs de l'appareil génital féminin (mortalité)</term>
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<term>Wound Infection</term>
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<term>Groin</term>
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<term>Aged</term>
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<front><div type="abstract" xml:lang="en">Metastatic disease from nonvulvar gynecologic malignancies involving the groin lymph nodes is uncommon. The purpose of this study is to analyze the morbidity, recurrence-free interval, and survival in this group of surgically managed patients. Twenty patients underwent surgical resection of metastatic disease involving the groin lymph nodes between January 1, 1984 and December 31, 1991. Individual factors which have an impact on morbidity, recurrence, and survival were analyzed. Two patients developed wound infection and 2 had wound breakdown. Both of the patients with postoperative wound infection had clinically fixed nodes. None of the patients developed deep venous thrombosis. Long-term complications included lymphocysts in 2 patients and lymphedema in 4 patients. The median local disease progression-free interval was 10 months, with 5 of 20 patients developing local recurrence. The overall median survival was 11 months, with an adjusted 5-year survival rate of 11.5%. Patients with clinically fixed lymph nodes had a shorter median survival (3.6 months) than those with clinically mobile (median, 22.6 months) nodes (P = 0.0032). Metastatic disease from carcinoma of the ovary, fallopian tube, uterus, and cervix involving the groin lymph nodes can be managed safely and effectively with surgical resection. The acute and long-term morbidity is acceptable. Local control can be achieved in the majority of patients.</div>
</front>
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<name sortKey="Barton, Desmond P J" sort="Barton, Desmond P J" uniqKey="Barton D" first="Desmond P. J." last="Barton">Desmond P. J. Barton</name>
<name sortKey="Cavanagh, Denis" sort="Cavanagh, Denis" uniqKey="Cavanagh D" first="Denis" last="Cavanagh">Denis Cavanagh</name>
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