Relationship between removal of circumflex iliac nodes distal to the external iliac nodes and postoperative lower-extremity lymphedema in uterine cervical cancer.
Identifieur interne : 000C56 ( PubMed/Corpus ); précédent : 000C55; suivant : 000C57Relationship between removal of circumflex iliac nodes distal to the external iliac nodes and postoperative lower-extremity lymphedema in uterine cervical cancer.
Auteurs : Hiroyuki Yamazaki ; Yukiharu Todo ; Sho Takeshita ; Yoko Ohba ; Satoko Sudo ; Shinichiro Minobe ; Kazuhira Okamoto ; Katsushige Yamashiro ; Hidenori KatoSource :
- Gynecologic oncology [ 1095-6859 ] ; 2015.
English descriptors
- KwdEn :
- Adenocarcinoma (surgery), Adult, Aged, Carcinoma, Adenosquamous (surgery), Carcinoma, Squamous Cell (surgery), Causality, Cohort Studies, Female, Humans, Hysterectomy (methods), Iliac Artery, Logistic Models, Lower Extremity, Lymph Node Excision (methods), Lymph Nodes (surgery), Lymphedema (epidemiology), Middle Aged, Pelvis, Postoperative Complications (epidemiology), Retrospective Studies, Uterine Cervical Neoplasms (surgery), Young Adult.
- MESH :
- epidemiology : Lymphedema, Postoperative Complications.
- methods : Hysterectomy, Lymph Node Excision.
- surgery : Adenocarcinoma, Carcinoma, Adenosquamous, Carcinoma, Squamous Cell, Lymph Nodes, Uterine Cervical Neoplasms.
- Adult, Aged, Causality, Cohort Studies, Female, Humans, Iliac Artery, Logistic Models, Lower Extremity, Middle Aged, Pelvis, Retrospective Studies, Young Adult.
Abstract
This study aimed to determine if there is a causal relationship between removal of the circumflex iliac nodes distal to the external iliac nodes (CINDEIN) and postoperative lower-extremity lymphedema (POLEL) after systematic lymphadenectomy in patients with cervical cancer.
DOI: 10.1016/j.ygyno.2015.09.007
PubMed: 26363210
Links to Exploration step
pubmed:26363210Le document en format XML
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Electronic address: yukiharu@sap-cc.go.jp.</nlm:affiliation></affiliation></author><author><name sortKey="Takeshita, Sho" sort="Takeshita, Sho" uniqKey="Takeshita S" first="Sho" last="Takeshita">Sho Takeshita</name><affiliation><nlm:affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Ohba, Yoko" sort="Ohba, Yoko" uniqKey="Ohba Y" first="Yoko" last="Ohba">Yoko Ohba</name><affiliation><nlm:affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Sudo, Satoko" sort="Sudo, Satoko" uniqKey="Sudo S" first="Satoko" last="Sudo">Satoko Sudo</name><affiliation><nlm:affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Minobe, Shinichiro" sort="Minobe, Shinichiro" uniqKey="Minobe S" first="Shinichiro" last="Minobe">Shinichiro Minobe</name><affiliation><nlm:affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Okamoto, Kazuhira" sort="Okamoto, Kazuhira" uniqKey="Okamoto K" first="Kazuhira" last="Okamoto">Kazuhira Okamoto</name><affiliation><nlm:affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Yamashiro, Katsushige" sort="Yamashiro, Katsushige" uniqKey="Yamashiro K" first="Katsushige" last="Yamashiro">Katsushige Yamashiro</name><affiliation><nlm:affiliation>Division of Pathology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Kato, Hidenori" sort="Kato, Hidenori" uniqKey="Kato H" first="Hidenori" last="Kato">Hidenori Kato</name><affiliation><nlm:affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Gynecologic oncology</title><idno type="eISSN">1095-6859</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adenocarcinoma (surgery)</term><term>Adult</term><term>Aged</term><term>Carcinoma, Adenosquamous (surgery)</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Causality</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Hysterectomy (methods)</term><term>Iliac Artery</term><term>Logistic Models</term><term>Lower Extremity</term><term>Lymph Node Excision (methods)</term><term>Lymph Nodes (surgery)</term><term>Lymphedema (epidemiology)</term><term>Middle Aged</term><term>Pelvis</term><term>Postoperative Complications (epidemiology)</term><term>Retrospective Studies</term><term>Uterine Cervical Neoplasms (surgery)</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Hysterectomy</term><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Adenocarcinoma</term><term>Carcinoma, Adenosquamous</term><term>Carcinoma, Squamous Cell</term><term>Lymph Nodes</term><term>Uterine Cervical Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Causality</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Iliac Artery</term><term>Logistic Models</term><term>Lower Extremity</term><term>Middle Aged</term><term>Pelvis</term><term>Retrospective Studies</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study aimed to determine if there is a causal relationship between removal of the circumflex iliac nodes distal to the external iliac nodes (CINDEIN) and postoperative lower-extremity lymphedema (POLEL) after systematic lymphadenectomy in patients with cervical cancer.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26363210</PMID><DateCreated><Year>2015</Year><Month>11</Month><Day>02</Day></DateCreated><DateCompleted><Year>2016</Year><Month>02</Month><Day>08</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN><JournalIssue CitedMedium="Internet"><Volume>139</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Gynecologic oncology</Title><ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Relationship between removal of circumflex iliac nodes distal to the external iliac nodes and postoperative lower-extremity lymphedema in uterine cervical cancer.</ArticleTitle><Pagination><MedlinePgn>295-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2015.09.007</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0090-8258(15)30124-4</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study aimed to determine if there is a causal relationship between removal of the circumflex iliac nodes distal to the external iliac nodes (CINDEIN) and postoperative lower-extremity lymphedema (POLEL) after systematic lymphadenectomy in patients with cervical cancer.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective chart review was performed for all living cervical cancer patients who underwent lymphadenectomy and were managed at Hokkaido Cancer Center between 1993 and 2013. The type of lymphadenectomy gradually shifted from lymphadenectomy with removal of CINDEIN to without CINDEIN dissection during this period. The study period was divided into two phases: from 1993-2007 (first phase) and from 2008-2013 (second phase). We identified patients with POLEL. Logistic regression analysis was used to select the risk factors for POLEL.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Implementation of CINDEIN-dissection lymphadenectomy (94.0% vs. 20.6%, p<0.0001) and adjuvant radiotherapy (26.1% vs. 4.5%, p<0.0001) was significantly higher in the first phase than in the second phase. Of 398 patients evaluated, POLEL was noted in medical records of 80 (20.1%) patients with a median follow-up period of 78.0months. The occurrence rate of POLEL was significantly higher in the first phase than in the second phase (32.2% vs. 8.0%, p<0.0001), despite no change in the number of dissected lymph nodes between the two phases. Multivariate analysis showed that adjuvant radiation therapy (odds ratio=2.6, 95% confidence interval=1.4-4.8) and removal of CINDEIN (odds ratio=4.6, 95% confidence interval=2.4-9.0) were independent risk factors for POLEL.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Elimination of CINDEIN dissection is helpful for reducing the incidence of POLEL.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yamazaki</LastName><ForeName>Hiroyuki</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Todo</LastName><ForeName>Yukiharu</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan. Electronic address: yukiharu@sap-cc.go.jp.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Takeshita</LastName><ForeName>Sho</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ohba</LastName><ForeName>Yoko</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sudo</LastName><ForeName>Satoko</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Minobe</LastName><ForeName>Shinichiro</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Okamoto</LastName><ForeName>Kazuhira</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yamashiro</LastName><ForeName>Katsushige</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Pathology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kato</LastName><ForeName>Hidenori</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, 4-2 Kikusui, Shiroishi-ku, Sapporo 003-0804, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>09</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Gynecol Oncol</MedlineTA><NlmUniqueID>0365304</NlmUniqueID><ISSNLinking>0090-8258</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000230" MajorTopicYN="N">Adenocarcinoma</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018196" MajorTopicYN="N">Carcinoma, Adenosquamous</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002294" MajorTopicYN="N">Carcinoma, Squamous Cell</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015984" MajorTopicYN="N">Causality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007044" MajorTopicYN="N">Hysterectomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007083" MajorTopicYN="N">Iliac Artery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010388" MajorTopicYN="N">Pelvis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002583" MajorTopicYN="N">Uterine Cervical Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cancer survivor</Keyword><Keyword MajorTopicYN="N">Cervical cancer</Keyword><Keyword MajorTopicYN="N">Circumflex iliac node</Keyword><Keyword MajorTopicYN="N">Leg edema</Keyword><Keyword MajorTopicYN="N">Lymphadenectomy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>07</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>09</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>09</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26363210</ArticleId><ArticleId IdType="pii">S0090-8258(15)30124-4</ArticleId><ArticleId 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