Surgical Management of Groin Node Metastases from Nonvulvar Gynecologic Malignancies
Identifieur interne : 00D887 ( Main/Merge ); précédent : 00D886; suivant : 00D888Surgical 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
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Finan</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Hoffman, Mitchel S" sort="Hoffman, Mitchel S" uniqKey="Hoffman M" first="Mitchel S." last="Hoffman">Mitchel S. Hoffman</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Fiorica, James V" sort="Fiorica, James V" uniqKey="Fiorica J" first="James V." last="Fiorica">James V. 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Roberts</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Gleeson, Noreen" sort="Gleeson, Noreen" uniqKey="Gleeson N" first="Noreen" last="Gleeson">Noreen Gleeson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><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><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Cavanagh, Denis" sort="Cavanagh, Denis" uniqKey="Cavanagh D" first="Denis" last="Cavanagh">Denis Cavanagh</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Gynecologic Oncology</title><title level="j" type="abbrev">YGYNO</title><idno type="ISSN">0090-8258</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1993">1993</date><biblScope unit="volume">51</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="230">230</biblScope><biblScope unit="page" to="235">235</biblScope></imprint><idno type="ISSN">0090-8258</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0090-8258</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><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></keywords><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></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Genital Neoplasms, Female</term><term>Wound Infection</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Neoplasms, Female</term><term>Groin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Time Factors</term></keywords><keywords scheme="MESH" 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></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><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></TEI><double doi="10.1006/gyno.1993.1278"><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical Management of Groin Node Metastases from Nonvulvar Gynecologic Malignancies</title><author><name sortKey="Finan, Michael A" sort="Finan, Michael A" uniqKey="Finan M" first="Michael A." last="Finan">Michael A. Finan</name></author><author><name sortKey="Hoffman, Mitchel S" sort="Hoffman, Mitchel S" uniqKey="Hoffman M" first="Mitchel S." last="Hoffman">Mitchel S. Hoffman</name></author><author><name sortKey="Fiorica, James V" sort="Fiorica, James V" uniqKey="Fiorica J" first="James V." last="Fiorica">James V. Fiorica</name></author><author><name sortKey="Roberts, William S" sort="Roberts, William S" uniqKey="Roberts W" first="William S." last="Roberts">William S. Roberts</name></author><author><name sortKey="Gleeson, Noreen" sort="Gleeson, Noreen" uniqKey="Gleeson N" first="Noreen" last="Gleeson">Noreen Gleeson</name></author><author><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></author><author><name sortKey="Cavanagh, Denis" sort="Cavanagh, Denis" uniqKey="Cavanagh D" first="Denis" last="Cavanagh">Denis Cavanagh</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D4B6610E07FB0060C150A777A7D12A1BC31774AF</idno><date when="1993" year="1993">1993</date><idno type="doi">10.1006/gyno.1993.1278</idno><idno type="url">https://api.istex.fr/document/D4B6610E07FB0060C150A777A7D12A1BC31774AF/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">006377</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">006377</idno><idno type="wicri:Area/Istex/Curation">006377</idno><idno type="wicri:Area/Istex/Checkpoint">004D83</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">004D83</idno><idno type="wicri:doubleKey">0090-8258:1993:Finan M:surgical:management:of</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Surgical Management of Groin Node Metastases from Nonvulvar Gynecologic Malignancies</title><author><name sortKey="Finan, Michael A" sort="Finan, Michael A" uniqKey="Finan M" first="Michael A." last="Finan">Michael A. Finan</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Hoffman, Mitchel S" sort="Hoffman, Mitchel S" uniqKey="Hoffman M" first="Mitchel S." last="Hoffman">Mitchel S. Hoffman</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Fiorica, James V" sort="Fiorica, James V" uniqKey="Fiorica J" first="James V." last="Fiorica">James V. Fiorica</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Roberts, William S" sort="Roberts, William S" uniqKey="Roberts W" first="William S." last="Roberts">William S. Roberts</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Gleeson, Noreen" sort="Gleeson, Noreen" uniqKey="Gleeson N" first="Noreen" last="Gleeson">Noreen Gleeson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><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><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Cavanagh, Denis" sort="Cavanagh, Denis" uniqKey="Cavanagh D" first="Denis" last="Cavanagh">Denis Cavanagh</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Gynecologic Oncology</title><title level="j" type="abbrev">YGYNO</title><idno type="ISSN">0090-8258</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1993">1993</date><biblScope unit="volume">51</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="230">230</biblScope><biblScope unit="page" to="235">235</biblScope></imprint><idno type="ISSN">0090-8258</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0090-8258</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><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></TEI></ISTEX><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical management of groin node metastases from nonvulvar gynecologic malignancies.</title><author><name sortKey="Finan, M A" sort="Finan, M A" uniqKey="Finan M" first="M A" last="Finan">M A Finan</name><affiliation><nlm:affiliation>Department of Obstetrics & Gynecology, University of South Florida College of Medicine, Tampa 33612.</nlm:affiliation><wicri:noCountry code="subField">Tampa 33612</wicri:noCountry></affiliation></author><author><name sortKey="Hoffman, M S" sort="Hoffman, M S" uniqKey="Hoffman M" first="M S" last="Hoffman">M S Hoffman</name></author><author><name sortKey="Fiorica, J V" sort="Fiorica, J V" uniqKey="Fiorica J" first="J V" last="Fiorica">J V Fiorica</name></author><author><name sortKey="Roberts, W S" sort="Roberts, W S" uniqKey="Roberts W" first="W S" last="Roberts">W S Roberts</name></author><author><name sortKey="Gleeson, N" sort="Gleeson, N" uniqKey="Gleeson N" first="N" last="Gleeson">N. Gleeson</name></author><author><name sortKey="Barton, D P" sort="Barton, D P" uniqKey="Barton D" first="D P" last="Barton">D P Barton</name></author><author><name sortKey="Cavanagh, D" sort="Cavanagh, D" uniqKey="Cavanagh D" first="D" last="Cavanagh">D. Cavanagh</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1993">1993</date><idno type="RBID">pubmed:8276299</idno><idno type="pmid">8276299</idno><idno type="doi">10.1006/gyno.1993.1278</idno><idno type="wicri:Area/PubMed/Corpus">005665</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005665</idno><idno type="wicri:Area/PubMed/Curation">005665</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">005665</idno><idno type="wicri:Area/PubMed/Checkpoint">005665</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">005665</idno><idno type="wicri:Area/Ncbi/Merge">00B491</idno><idno type="wicri:Area/Ncbi/Curation">00B491</idno><idno type="wicri:Area/Ncbi/Checkpoint">00B491</idno><idno type="wicri:doubleKey">0090-8258:1993:Finan M:surgical:management:of</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical management of groin node metastases from nonvulvar gynecologic malignancies.</title><author><name sortKey="Finan, M A" sort="Finan, M A" uniqKey="Finan M" first="M A" last="Finan">M A Finan</name><affiliation><nlm:affiliation>Department of Obstetrics & Gynecology, University of South Florida College of Medicine, Tampa 33612.</nlm:affiliation><wicri:noCountry code="subField">Tampa 33612</wicri:noCountry></affiliation></author><author><name sortKey="Hoffman, M S" sort="Hoffman, M S" uniqKey="Hoffman M" first="M S" last="Hoffman">M S Hoffman</name></author><author><name sortKey="Fiorica, J V" sort="Fiorica, J V" uniqKey="Fiorica J" first="J V" last="Fiorica">J V Fiorica</name></author><author><name sortKey="Roberts, W S" sort="Roberts, W S" uniqKey="Roberts W" first="W S" last="Roberts">W S Roberts</name></author><author><name sortKey="Gleeson, N" sort="Gleeson, N" uniqKey="Gleeson N" first="N" last="Gleeson">N. Gleeson</name></author><author><name sortKey="Barton, D P" sort="Barton, D P" uniqKey="Barton D" first="D P" last="Barton">D P Barton</name></author><author><name sortKey="Cavanagh, D" sort="Cavanagh, D" uniqKey="Cavanagh D" first="D" last="Cavanagh">D. Cavanagh</name></author></analytic><series><title level="j">Gynecologic oncology</title><idno type="ISSN">0090-8258</idno><imprint><date when="1993" type="published">1993</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><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></keywords><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></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Genital Neoplasms, Female</term><term>Wound Infection</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Neoplasms, Female</term><term>Groin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Time Factors</term></keywords><keywords scheme="MESH" 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></keywords></textClass></profileDesc></teiHeader><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 lymphocytes 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></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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