Klinik evre 1a epitelyal over kanserlerinde kontrlateral lenf nodu tutulumu
Contralateral lymph node involvement in clinicially stage 1a epithelial ovarian cancer
- Tez No: 203146
- Danışmanlar: PROF.DR. KUNTER YÜCE
- Tez Türü: Tıpta Uzmanlık
- Konular: Kadın Hastalıkları ve Doğum, Obstetrics and Gynecology
- Anahtar Kelimeler: Early stage ovarian cancer, contralateral lymph node involvement
- Yıl: 2007
- Dil: Türkçe
- Üniversite: Hacettepe Üniversitesi
- Enstitü: Tıp Fakültesi
- Ana Bilim Dalı: Kadın Hastalıkları ve Doğum Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 71
Özet
Özet yok.
Özet (Çeviri)
The objective is to identify contralateral lymph node (LN) involvement in intraoperatively stage 1a epithelial ovarian cancer. Low risk patients with an unilateral tumor treated between january 2004 and april 2007 in Hacettepe University Obstetrics and Gynecology department were evaluated. Systemic bilateral pelvic, paraaortic lymphadenectomy was performed in all patients. Ovarian tumor was confined to one ovary for 57 patients. Forty one patients had ovarian tumor with intact capsule and no surface involvement, ascites and palpable LN. The median number of LN was 33. There were three patients (7,3%) with LN involvement, two had serous and one had transitional cell histology. Two LN metastasis were solely in paraaortic region and other was in ipsilateral pelvic LN. Eleven patients (26,8%) had capsule, two (4,9%) had contralateral ovarian, one (2,4%) had omental involvement. Ovarian capsule was intact all of the patients with LN involvement, tumor was grade III and there was one metastastic LN. In very selected clinically stage 1a cases with low risc for metastasis, ipsilateral pelvic and paraaortic LN dissection seems to be sufficient procedure. The lymphatic anatomy is still not fully understood, sentinal LN studies are not concluded and frozen sections are not hundred percent reliable because of technical reasons. So, systemically bilateral pelvic and paraaortic LN dissection could be a better approach for ovarian cancers even if the clinical stage of the tumor is 1a.
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