Surgical management of groin node metastases from nonvulvar gynecologic malignancies.
Identifieur interne : 005665 ( PubMed/Corpus ); précédent : 005664; suivant : 005666Surgical management of groin node metastases from nonvulvar gynecologic malignancies.
Auteurs : M A Finan ; M S Hoffman ; J V Fiorica ; W S Roberts ; N. Gleeson ; D P Barton ; D. CavanaghSource :
- Gynecologic oncology [ 0090-8258 ] ; 1993.
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 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.
DOI: 10.1006/gyno.1993.1278
PubMed: 8276299
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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></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></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="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="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></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><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8276299</PMID><DateCreated><Year>1994</Year><Month>02</Month><Day>09</Day></DateCreated><DateCompleted><Year>1994</Year><Month>02</Month><Day>09</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0090-8258</ISSN><JournalIssue CitedMedium="Print"><Volume>51</Volume><Issue>2</Issue><PubDate><Year>1993</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Gynecologic oncology</Title><ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Surgical management of groin node metastases from nonvulvar gynecologic malignancies.</ArticleTitle><Pagination><MedlinePgn>230-5</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Finan</LastName><ForeName>M A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Department of Obstetrics & Gynecology, University of South Florida College of Medicine, Tampa 33612.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hoffman</LastName><ForeName>M S</ForeName><Initials>MS</Initials></Author><Author ValidYN="Y"><LastName>Fiorica</LastName><ForeName>J V</ForeName><Initials>JV</Initials></Author><Author ValidYN="Y"><LastName>Roberts</LastName><ForeName>W S</ForeName><Initials>WS</Initials></Author><Author ValidYN="Y"><LastName>Gleeson</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Barton</LastName><ForeName>D P</ForeName><Initials>DP</Initials></Author><Author ValidYN="Y"><LastName>Cavanagh</LastName><ForeName>D</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></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="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005833" MajorTopicYN="N">Genital Neoplasms, Female</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014946" MajorTopicYN="N">Wound Infection</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1993</Year><Month>11</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1993</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1993</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8276299</ArticleId><ArticleId IdType="pii">S0090-8258(83)71278-3</ArticleId><ArticleId IdType="doi">10.1006/gyno.1993.1278</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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