Role of lymphadenectomy in disease-free and overall survival on low risk endometrium cancer patients.

Ginekol Pol

Department of Obstetrics and Gynecology, Erzincan University, Turkey; Izmir Tepecik Teaching and Research Hospital, Department of Obstetrics and Gynecology, yenişehir, 35150 izmir, Turkey.

Published: November 2018

AI Article Synopsis

  • The study looked at how removing lymph nodes affects survival in patients with a low risk type of uterus cancer.
  • It included 257 patients over several years, some had lymph nodes removed and some did not.
  • The results showed it didn't make a difference in their chances of being cancer-free or living longer, so just doing a surgery to remove the uterus was enough for low-risk cases.

Article Abstract

Objectives: Evaluation of the effect of lymphadenectomy in disease-free and overall survival on the low risk corpus cancer.

Material And Methods: Between 1994 and 2012, a total of 257 patients with endometrioid type, grade 1 or 2, myometrial invasion < 1/2, no intraoperative evidence of macroscopic extrauterine spread was treated surgically. Pelvic lymphadenec-tomy was performed in 184 cases, and not performed in 73 cases.

Results: There was no difference between two groups about tumor sizes. Also lymphovascular space invasion and histo-logic grade of two groups were similar. Omission of LA did not worsen DFS and OS in early stage low risk corpus cancer.

Conclusions: Patients who have low risk corpus cancer, can be treated optimally with hysterectomy only.

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Source
http://dx.doi.org/10.5603/GP.a2018.0053DOI Listing

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