The mandatory role of groin lymphadenectomy in clinical Stages IB and II vulvar cancer.
Τίτλος | The mandatory role of groin lymphadenectomy in clinical Stages IB and II vulvar cancer. |
Publication Type | Journal Article |
Year of Publication | 2016 |
Authors | Căpîlna, M. E., Szabo B., Nicolau C. R., Daniilidis A., Neagoe R. M., & Moldovan B. |
Journal | Eur J Gynaecol Oncol |
Volume | 37 |
Issue | 1 |
Pagination | 86-8 |
Date Published | 2016 |
ISSN | 0392-2936 |
Λέξεις κλειδιά | Adult, Aged, Female, Groin, Humans, Lymph Node Excision, Lymphatic Metastasis, Middle Aged, Neoplasm Staging, Vulvar Neoplasms |
Abstract | PURPOSE OF INVESTIGATION: To analyze the prevalence of inguinofemoral lymph nodes metastases in clinical Stages IB-II vulva cancer.MATERIALS AND METHODS: Twenty-two patients with FIGO Stages IB-II FIGO vulva cancer with no clinically and imagistic evidence of nodes metastases were treated in the present clinic. The surgical procedures consisted in radical vulvectomy plus inguinofemoral lym- phadenectomy.RESULTS: The final pathological result was squamous carcinoma in 20 patients, vulva melanoma in one, and carcinosar- coma in one. The prevalence of positive lymph nodes was 45.4%. The median number of harvested lymph nodes was 14.0 per groin (between four and 27). Twelve patients (54.5%) developed some wound complications, but all were resolved. At the present time, 20 patients are alive, but the follow-up period is short for many of them; two patients died of disease.CONCLUSION: The prevalence of groin metastases in Stages IB-II vulvar cancer is high. A thorough inguino-femoral dissection seems necessary, despite the high incidence of wound complications. |
Alternate Journal | Eur. J. Gynaecol. Oncol. |
PubMed ID | 27048116 |