Upper margin of para-aortic lymphadenectomy in cervical cancer

Acta Obstetricia Et Gynecologica Scandinavica
L OuldamerG Body

Abstract

Patients with early stage cervical cancer routinely undergo pelvic lymphadenectomy. A para-aortic lymphadenectomy is only performed in the setting of grossly enlarged lymph nodes. In patients with locally advanced disease, a para-aortic lymphadenectomy is indicated particularly when pelvic nodes are suspicious for disease on preoperative imaging. There is no consensus about the extent of para-aortic lymph node dissection in these patients. We reviewed relevant literature to determine the extension of para-aortic lymphadenectomy in patients with cervical cancer in order to establish whether lymph node dissection up to the inferior mesenteric artery or higher to the level of renal vessels should be performed. We performed a systematic search (PubMed; up to June 2011) to review systematic complete para-aortic lymphadenectomy. According to our search, eight women (1.09%) had isolated para-aortic node metastases, of which two had only lymph node metastases above the inferior mesenteric artery.

References

Apr 1, 1979·American Journal of Obstetrics and Gynecology·H J Buchsbaum
Jun 1, 1977·American Journal of Obstetrics and Gynecology·J H NelsonR Fruchter
Jun 1, 1988·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·C HaieJ F Heron
Aug 24, 1999·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·P G RoseF Miraldi
Sep 10, 1999·Gynecologic Oncology·B A GoffB E Greer
Feb 13, 2001·Gynecologic Oncology·S MalurA Schneider
Aug 25, 2001·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·K NarayanA F McKenzie
Feb 1, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Charles LevenbackEbrahim S Delpassand
Dec 7, 2002·Gynecologic Oncology·Hermann HertelAchim Schneider
Mar 27, 2003·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·P A van DamL Verkinderen
Mar 1, 1962·The British Journal of Surgery·G BELL
May 21, 2004·Annals of Oncology : Official Journal of the European Society for Medical Oncology·E BarrangerP Callard
Jul 21, 2004·Gynecologic Oncology·Emmanuel BarrangerEmile Darai
Apr 20, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Andrea G RockallRodney H Reznek
May 3, 2005·Gynecologic Oncology·Lucas B SilvaJosé Renan Cunha Melo
May 24, 2005·European Journal of Nuclear Medicine and Molecular Imaging·I RocaJ Xercavins
Apr 8, 2006·Gynecologic Oncology·Simone MarnitzUNKNOWN German Association of Gynecologic Oncologists (AGO)
May 10, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Farin KamangarWilliam F Anderson
Mar 21, 2007·Gynecologic Oncology·J HauspyA Covens
Jun 15, 2007·Gynecologic Oncology·David M KushnerEllen M Hartenbach
Mar 26, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Tara J SelmanKhalid Khan
May 20, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Mathias BoughanimPhilippe Morice
Jun 21, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Christopher AltgassenUNKNOWN AGO Study Group

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Citations

Aug 27, 2013·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·I Barillot, A Ruffier Loubière
Mar 31, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·K Y Tse, Hextan Y S Ngan
Jul 3, 2019·Archives of Gynecology and Obstetrics·Ali AyhanMehmet Mutlu Meydanli
Nov 14, 2020·Journal of Gynecologic Oncology·Antoni LluecaUNKNOWN Spain-Gynecologic Oncology Group (GOG) Working Group

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