16 The significance of lymph node status at pelvic, common iliac and para-aortic levels

Ferraris, G; Lanza, A; Re, Abernathy; Raspollini, Maria Rosaria; Proserpio, D; Bellino, R

doi:10.1016/s0950-3552(98)80018-7

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…The median number of lymph nodes resulting from conventional pathology dissection in our study was 21. This corresponds with what is described in the literature; a mean of 21 to 32 lymph nodes is reported in various studies [ 7 – 10 ].…”

Section: Discussionsupporting

confidence: 91%

Pelvic lymph node dissection for cervical or bladder cancer: embedding residual fat tissue offers no added value

et al. 2023

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Diagnosis of lymph node metastases in pelvic lymph node dissection (PLND) is important for staging and treatment. Standard practice is to submit visible or palpable lymph nodes for histology. We assessed the added value of embedding all residual fatty tissue.Patients (n = 85) who underwent PLND for cervical (n = 50) or bladder cancer (n = 35) between 2017 and 2019 were included. Study approval was obtained (MEC-2022-0156, 18.03.2022, retrospectively registered).The median lymph node yield with conventional pathological dissection was 21 nodes (Interquartile range (IQR) 18–28). This led to discovery of positive lymph nodes in 17 (20%) patients. Extended pathological assessment found 7 (IQR 3-12) additional nodes, but did not result in identification of more node metastases.Histopathological analysis of residual fatty tissue harvested at PLND resulted in an increased lymph node yield, but not in the detection of additional lymph node metastases.

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Section: Discussionsupporting

confidence: 91%

Pelvic lymph node dissection for cervical or bladder cancer: embedding residual fat tissue offers no added value

et al. 2023

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“…In 220 Stage 2b tumours there were 11 cases (20%) of spread to the uterine corpus. Other investigators quote incidences of 26% 4 and 24% 5 . Baltzer 6 found age to be an important variable in the vertical spread of disease in women with Stage 2b tumours, with 9.5% of women younger than the age of 50 years but 32% older than 50 years having uterine involvement.…”

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confidence: 99%

Abdominal radical trachelectomy: a new surgical technique for the conservative management of cervical carcinoma

Smith

Boyle

Corless

et al. 1997

BJOG

198

102

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Traditionally radical hysterectomy has formed the mainstay of treatment for early stage cervical carcinoma. More recently radical trachelectomy and laparoscopic lymphadenectomy have been introduced to allow preservation of fertility. We present a new approach to fertility-sparing surgery, namely abdominal radical trachelectomy. The technique is similar to a standard radical hysterectomy and lymphadenectomy. In our technique the ovarian vessels are not ligated and, following lymphadenectomy and skeletonisation of the uterine arteries, the cervix, parametrium and vaginal cuff are excised. The residuum of the cervix is then sutured to the vagina and the uterine ateries reanastomosed.Traditionally the treatment for invasive cervical carcinoma which has progressed beyond microinvasion has been radical hysterectomy. Long term experience of radical surgery for Stage l b carcinoma has shown that it produces excellent results in terms of survival but that morbidity may be significant, and there is always loss of potential for future childbearing. Increasingly, large numbers of young women (24-35 years) are being diagnosed with cervical cancer1. Clearly, the loss of fertility in these women can be devastating.In recent years there has been a move towards more conservative approaches for the treatment of cervical carcinoma. Conisation of the cervix has become acceptable practice for the management of FIG0 classification Stage la(i) tumours. In an attempt to develop a more conservative operation for early invasive carcinoma of the cervix, Dargent et al.* described a new technique suitable for exophytic tumours of Stages l a to 2a which allowed preservation of the uterus but removed the cervix, parametrium and upper one third of the vagina.He called this procedure 'radical trachelectomy '. His patients also underwent laparoscopic pelvic lymphadenectomy, with negative histology results. The

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Diagnosis and surgical treatment of cervical cancer

Burghardt

Winter

Tamussino

et al. 1994

Critical Reviews in Oncology/Hematology

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16 The significance of lymph node status at pelvic, common iliac and para-aortic levels

Cited by 3 publications

References 9 publications

Pelvic lymph node dissection for cervical or bladder cancer: embedding residual fat tissue offers no added value

Pelvic lymph node dissection for cervical or bladder cancer: embedding residual fat tissue offers no added value

Abdominal radical trachelectomy: a new surgical technique for the conservative management of cervical carcinoma

Diagnosis and surgical treatment of cervical cancer

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