Endometrial Cancer and the Role of Lymphadenectomy.
Identifieur interne : 000770 ( PubMed/Curation ); précédent : 000769; suivant : 000771Endometrial Cancer and the Role of Lymphadenectomy.
Auteurs : Leslie H. Clark ; John T. Soper [États-Unis]Source :
- Obstetrical & gynecological survey [ 1533-9866 ] ; 2016.
Descripteurs français
- KwdFr :
- Facteurs de risque, Femelle, Humains, Imagerie par résonance magnétique, Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Métastase lymphatique, Noeud lymphatique sentinelle (anatomopathologie), Noeud lymphatique sentinelle (imagerie diagnostique), Pronostic, Stade de la tumeur (), Tomodensitométrie, Tumeurs de l'endomètre (), Tumeurs de l'endomètre (anatomopathologie).
- MESH :
- anatomopathologie : Noeud lymphatique sentinelle, Tumeurs de l'endomètre.
- effets indésirables : Lymphadénectomie.
- imagerie diagnostique : Noeud lymphatique sentinelle.
- étiologie : Lymphoedème.
- Facteurs de risque, Femelle, Humains, Imagerie par résonance magnétique, Métastase lymphatique, Pronostic, Stade de la tumeur, Tomodensitométrie, Tumeurs de l'endomètre.
English descriptors
- KwdEn :
- Endometrial Neoplasms (pathology), Endometrial Neoplasms (surgery), Female, Humans, Lymph Node Excision (adverse effects), Lymphatic Metastasis, Lymphedema (etiology), Magnetic Resonance Imaging, Neoplasm Staging (methods), Prognosis, Risk Factors, Sentinel Lymph Node (diagnostic imaging), Sentinel Lymph Node (pathology), Tomography, X-Ray Computed.
- MESH :
- adverse effects : Lymph Node Excision.
- diagnostic imaging : Sentinel Lymph Node.
- etiology : Lymphedema.
- methods : Neoplasm Staging.
- pathology : Endometrial Neoplasms, Sentinel Lymph Node.
- surgery : Endometrial Neoplasms.
- Female, Humans, Lymphatic Metastasis, Magnetic Resonance Imaging, Prognosis, Risk Factors, Tomography, X-Ray Computed.
Abstract
The role of lymph node dissection in early-stage endometrial cancer is highly debated, but staging and prognosis are dependent on knowledge of lymph node metastasis.
DOI: 10.1097/OGX.0000000000000321
PubMed: 27302186
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Leslie H. Clark<affiliation><nlm:affiliation>Clinical Fellow.</nlm:affiliation>
<wicri:noCountry code="no comma">Clinical Fellow.</wicri:noCountry>
</affiliation>
Le document en format XML
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<author><name sortKey="Clark, Leslie H" sort="Clark, Leslie H" uniqKey="Clark L" first="Leslie H" last="Clark">Leslie H. Clark</name>
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<wicri:noCountry code="no comma">Clinical Fellow.</wicri:noCountry>
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<author><name sortKey="Soper, John T" sort="Soper, John T" uniqKey="Soper J" first="John T" last="Soper">John T. Soper</name>
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<placeName><region type="state">Caroline du Nord</region>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Endometrial Neoplasms (pathology)</term>
<term>Endometrial Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema (etiology)</term>
<term>Magnetic Resonance Imaging</term>
<term>Neoplasm Staging (methods)</term>
<term>Prognosis</term>
<term>Risk Factors</term>
<term>Sentinel Lymph Node (diagnostic imaging)</term>
<term>Sentinel Lymph Node (pathology)</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (étiologie)</term>
<term>Métastase lymphatique</term>
<term>Noeud lymphatique sentinelle (anatomopathologie)</term>
<term>Noeud lymphatique sentinelle (imagerie diagnostique)</term>
<term>Pronostic</term>
<term>Stade de la tumeur ()</term>
<term>Tomodensitométrie</term>
<term>Tumeurs de l'endomètre ()</term>
<term>Tumeurs de l'endomètre (anatomopathologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Noeud lymphatique sentinelle</term>
<term>Tumeurs de l'endomètre</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Sentinel Lymph Node</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Noeud lymphatique sentinelle</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Neoplasm Staging</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Endometrial Neoplasms</term>
<term>Sentinel Lymph Node</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Endometrial Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Female</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Magnetic Resonance Imaging</term>
<term>Prognosis</term>
<term>Risk Factors</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Métastase lymphatique</term>
<term>Pronostic</term>
<term>Stade de la tumeur</term>
<term>Tomodensitométrie</term>
<term>Tumeurs de l'endomètre</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">The role of lymph node dissection in early-stage endometrial cancer is highly debated, but staging and prognosis are dependent on knowledge of lymph node metastasis.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27302186</PMID>
<DateCreated><Year>2016</Year>
<Month>06</Month>
<Day>15</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>02</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>02</Month>
<Day>27</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1533-9866</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>71</Volume>
<Issue>6</Issue>
<PubDate><Year>2016</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Obstetrical & gynecological survey</Title>
<ISOAbbreviation>Obstet Gynecol Surv</ISOAbbreviation>
</Journal>
<ArticleTitle>Endometrial Cancer and the Role of Lymphadenectomy.</ArticleTitle>
<Pagination><MedlinePgn>353-60</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/OGX.0000000000000321</ELocationID>
<Abstract><AbstractText Label="IMPORTANCE" NlmCategory="OBJECTIVE">The role of lymph node dissection in early-stage endometrial cancer is highly debated, but staging and prognosis are dependent on knowledge of lymph node metastasis.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We sought to review the available data on the use of lymph node assessment in presumed early-stage endometrial cancer.</AbstractText>
<AbstractText Label="EVIDENCE ACQUISITION" NlmCategory="METHODS">A comprehensive literature review was performed using MEDLINE, the Cochrane Collaborative Database, and PubMed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There is limited retrospective data that suggest a therapeutic benefit to lymphadenectomy. Prospective randomized trials have not shown a benefit to lymphadenectomy in low-risk patients, but found significant morbidity in patients undergoing lymphadenectomy. Selective lymph node assessment should be used in low-risk endometrial cancer. Sentinel lymph node assessment is emerging as a potential strategy for lymph node assessment.</AbstractText>
<AbstractText Label="CONCLUSIONS AND RELEVANCE" NlmCategory="CONCLUSIONS">Selective use of lymphadenectomy in early-stage endometrial cancer can reduce the morbidity associated with lymph node dissection without compromising clinical outcomes. Multiple strategies are available including sentinel lymph nodes and risk factor based lymphadenectomy.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Clark</LastName>
<ForeName>Leslie H</ForeName>
<Initials>LH</Initials>
<AffiliationInfo><Affiliation>Clinical Fellow.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Soper</LastName>
<ForeName>John T</ForeName>
<Initials>JT</Initials>
<AffiliationInfo><Affiliation>Professor, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC.</Affiliation>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Obstet Gynecol Surv</MedlineTA>
<NlmUniqueID>0401007</NlmUniqueID>
<ISSNLinking>0029-7828</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D016889" MajorTopicYN="N">Endometrial Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000071036" MajorTopicYN="N">Sentinel Lymph Node</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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