Δημοσίευση

The mandatory role of groin lymphadenectomy in clinical Stages IB and II vulvar cancer.

ΤίτλοςThe mandatory role of groin lymphadenectomy in clinical Stages IB and II vulvar cancer.
Publication TypeJournal Article
Year of Publication2016
AuthorsCăpîlna, M. E., Szabo B., Nicolau C. R., Daniilidis A., Neagoe R. M., & Moldovan B.
JournalEur J Gynaecol Oncol
Volume37
Issue1
Pagination86-8
Date Published2016
ISSN0392-2936
Λέξεις κλειδιάAdult, 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 JournalEur. J. Gynaecol. Oncol.
PubMed ID27048116

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Τμήμα Ιατρικής, Πανεπιστημιούπολη ΑΠΘ, T.K. 54124, Θεσσαλονίκη
 

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