Portal de Periódicos da CAPES

Is lymphadenectomy necessary in mucinous ovarian cancer? A single institution experience

2017; Wolters Kluwer; Volume: 41; Linguagem: Inglês

10.1016/j.ijsu.2017.03.023

1743-9191

Ivan Salgado-Ceballos, J. Rios, Delia Pérez‐Montiel, Lenny Gallardo, Salim Barquet-Muñoz, Rosa A. Salcedo‐Hernández, Carlos Pérez‐Plasencia, Luis A. Herrera, David Cantú de León,

Intraperitoneal and Appendiceal Malignancies

According to the International Federation of Gynecology and Obstetrics (FIGO) guidelines, every patient diagnosed with ovarian cancer (OC) should undergo a complete staging procedure to adequately assess tumor spread. The role of lymphadenectomy in the initial management of primary early mucinous ovarian cancer (MOC) remains unclear.To describe the prevalence of pelvic and para-aortic node metastases in MOC.The records of patients with MOC treated at our Institute during January 2005 to December 2011 were assessed. A descriptive and comparative analysis was conducted. Overall survival (OS) and diseases-free period (DFP) were calculated with the Kaplan-Meier method and were compared with the log-rank test.Of 31 patients with MOC, 14 (45.16%) underwent lymphadenectomy, obtaining 190 pelvic nodes, with a median of 9 pelvic lymph nodes removed per patient (interquartile range = 15). There was no evidence of metastatic disease in the dissected pelvic nodes.These results suggest that complete surgical staging with lymph node dissection has no effect on recurrence, disease-free period, and overall survival of patients with early stage MOC.