Serveur d'exploration sur le lymphœdème

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[Complications of radical vulvectomy and adjacent lymphadenectomy based on 58 cases of vulvar cancer].

Identifieur interne : 004D93 ( PubMed/Checkpoint ); précédent : 004D92; suivant : 004D94

[Complications of radical vulvectomy and adjacent lymphadenectomy based on 58 cases of vulvar cancer].

Auteurs : Z. Sárosi [Hongrie] ; P. Bösze ; A. Danczig ; G. Ringwald

Source :

RBID : pubmed:8170673

Descripteurs français

English descriptors

Abstract

The authors report on the complications of 58 radical vulvectomy with bilateral inguinal lymphadenectomy due to vulvar carcinoma. There was no operative mortality and no serious intraoperative complication was encountered. Wound disruption with or without infection was the most frequent early postoperative complication that occurred in 59% of the cases. Surgical intervention for secondary haemorrhage was necessary in 3 patients. Lymphatic fistula and lower extremity oedema developed in 3 women. The most disturbing long term complication, the persistent lower extremity oedema, occurred in 11 patients. Difficulties with micturation and vaginal prolapse developed in 4 subjects. The complication rate of this series compares favourably with the literature data. In the author's view radical vulvectomy with groin node dissection is a major operation and should be performed in oncological centers.

PubMed: 8170673


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pubmed:8170673

Le document en format XML

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<title xml:lang="en">[Complications of radical vulvectomy and adjacent lymphadenectomy based on 58 cases of vulvar cancer].</title>
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<name sortKey="Sarosi, Z" sort="Sarosi, Z" uniqKey="Sarosi Z" first="Z" last="Sárosi">Z. Sárosi</name>
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<nlm:affiliation>Országos Onkológiai Intézet, Nögyógyászati Onkológiai Osztály, Budapest.</nlm:affiliation>
<country>Hongrie</country>
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<settlement type="city">Budapest</settlement>
<region nuts="2">Hongrie centrale</region>
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<name sortKey="Bosze, P" sort="Bosze, P" uniqKey="Bosze P" first="P" last="Bösze">P. Bösze</name>
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<name sortKey="Danczig, A" sort="Danczig, A" uniqKey="Danczig A" first="A" last="Danczig">A. Danczig</name>
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<name sortKey="Ringwald, G" sort="Ringwald, G" uniqKey="Ringwald G" first="G" last="Ringwald">G. Ringwald</name>
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<term>Carcinoma (pathology)</term>
<term>Carcinoma (surgery)</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications (etiology)</term>
<term>Uterine Prolapse (etiology)</term>
<term>Vulva (pathology)</term>
<term>Vulva (surgery)</term>
<term>Vulvar Neoplasms (pathology)</term>
<term>Vulvar Neoplasms (surgery)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Association thérapeutique</term>
<term>Carcinomes ()</term>
<term>Carcinomes (anatomopathologie)</term>
<term>Complications postopératoires (étiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème</term>
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<term>Prolapsus utérin (étiologie)</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de la vulve ()</term>
<term>Tumeurs de la vulve (anatomopathologie)</term>
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<term>Vulve (anatomopathologie)</term>
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<term>Postoperative Complications</term>
<term>Uterine Prolapse</term>
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<term>Carcinoma</term>
<term>Vulva</term>
<term>Vulvar Neoplasms</term>
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<term>Carcinoma</term>
<term>Vulva</term>
<term>Vulvar Neoplasms</term>
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<term>Complications postopératoires</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
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<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front>
<div type="abstract" xml:lang="en">The authors report on the complications of 58 radical vulvectomy with bilateral inguinal lymphadenectomy due to vulvar carcinoma. There was no operative mortality and no serious intraoperative complication was encountered. Wound disruption with or without infection was the most frequent early postoperative complication that occurred in 59% of the cases. Surgical intervention for secondary haemorrhage was necessary in 3 patients. Lymphatic fistula and lower extremity oedema developed in 3 women. The most disturbing long term complication, the persistent lower extremity oedema, occurred in 11 patients. Difficulties with micturation and vaginal prolapse developed in 4 subjects. The complication rate of this series compares favourably with the literature data. In the author's view radical vulvectomy with groin node dissection is a major operation and should be performed in oncological centers.</div>
</front>
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<Day>02</Day>
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<DateRevised>
<Year>2009</Year>
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<Day>21</Day>
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<Month>Apr</Month>
<Day>03</Day>
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<Title>Orvosi hetilap</Title>
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<ArticleTitle>[Complications of radical vulvectomy and adjacent lymphadenectomy based on 58 cases of vulvar cancer].</ArticleTitle>
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<MedlinePgn>743-6</MedlinePgn>
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<AbstractText>The authors report on the complications of 58 radical vulvectomy with bilateral inguinal lymphadenectomy due to vulvar carcinoma. There was no operative mortality and no serious intraoperative complication was encountered. Wound disruption with or without infection was the most frequent early postoperative complication that occurred in 59% of the cases. Surgical intervention for secondary haemorrhage was necessary in 3 patients. Lymphatic fistula and lower extremity oedema developed in 3 women. The most disturbing long term complication, the persistent lower extremity oedema, occurred in 11 patients. Difficulties with micturation and vaginal prolapse developed in 4 subjects. The complication rate of this series compares favourably with the literature data. In the author's view radical vulvectomy with groin node dissection is a major operation and should be performed in oncological centers.</AbstractText>
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