Artigo Revisado por pares

The importance of parametrial lymph nodes in the treatment of cervical cancer

1989; Elsevier BV; Volume: 34; Issue: 2 Linguagem: Inglês

10.1016/0090-8258(89)90143-1

ISSN

1095-6859

Autores

F. Girardi, W. Lichtenegger, Karl Tamussino, Josef Haas,

Tópico(s)

Ovarian cancer diagnosis and treatment

Resumo

This study aimed to determine the presence, distribution, and metastatic involvement of lymph nodes in the parametria of patients undergoing radical hysterectomy for cervical cancer. Parametrial nodes were present in the giant sections of 280 (78%) of 359 surgical specimens, and metastatically involved nodes were found in 63 (22.5%) of these 280. Both positive and negative nodes were distributed through the entire parametrium. The frequency of positive nodes was linearly associated with both the clinical stage and with the tumor volume. The recurrence rate was higher when the parametrial nodes were positive than when they were negative. Survival dropped when the parametrial nodes were positive, regardless of the clinical stage.

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