An Analysis of the Risk Factors and Management of Lymphocele after Pelvic Lymphadenectomy in Patients with Gynecologic Malignancies

Kim, Hee Yeon; Kim, Jae Wook; Kim, Sung Hoon; Kim, Young Tae

doi:10.4143/crt.2004.36.6.377

Cited by 90 publications

(128 citation statements)

References 17 publications

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“…Lymphoceles occur frequently after gynecological surgery, in up to 60% of cases [8,10,12]. Most lymphoceles are asymptomatic and regress spontaneously [12].…”

Section: Discussionmentioning

confidence: 99%

“…Most lymphoceles are asymptomatic and regress spontaneously [12]. Lymphocysts often occur after a pelvic lymphadenectomy and cervical or endometrial cancer [9,12,14,16].…”

Section: Discussionmentioning

confidence: 99%

“…The risk factors for lymphocele development are unclear [12][13][14]. They may include the extent of the lymphadenectomy, the number of lymph nodes removed, the presence of metastases to the lymph nodes, body mass index (BMI), and the use of drainage.…”

Section: Introductionmentioning

confidence: 99%

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Lymphocele and Ovarian Cancer: Risk Factors and Impact on Survival

et al. 2012

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After completing this course, the reader will be able to:1. Identify risk factors for lymphoceles after cytoreductive surgery in ovarian cancer.2. Describe the impact of lymphocleles on outcomes in women with ovarian cancer. This article is available for continuing medical education credit at CME.TheOncologist.com. CME CME ABSTRACT Introduction. We describe the incidence, impact on survival, and the risk factors for symptomatic lymphoceles in patients with ovarian cancer.Methods. This retrospective study includes patients with ovarian cancer who had complete cytoreductive surgery and para-aortic and pelvic lymphadenectomy performed in our institute from 2005 to 2011. Patients were classified into two groups: patients with symptomatic lymphoceles and a control group.Results. During the study period, 194 patients with epithelial ovarian cancer underwent cytoreductive surgery and a lymphadenectomy without macroscopic residual disease. Fifty-four patients had symptomatic lymphoceles (28%). In the multivariate analysis, only supraradical surgery was significantly and independently associated with

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“…Lymphoceles occur frequently after gynecological surgery, in up to 60% of cases [8,10,12]. Most lymphoceles are asymptomatic and regress spontaneously [12].…”

Section: Discussionmentioning

confidence: 99%

“…Most lymphoceles are asymptomatic and regress spontaneously [12]. Lymphocysts often occur after a pelvic lymphadenectomy and cervical or endometrial cancer [9,12,14,16].…”

Section: Discussionmentioning

confidence: 99%

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Lymphocele and Ovarian Cancer: Risk Factors and Impact on Survival

et al. 2012

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“…The differential diagnoses of retroperitoneal lymphocyte are seroma, hematoma, abscess, urinoma, and tumor recurrence. Imaging methods (ultrasound and CT scan) are of significant importance (10). Regarding the proposed treatment for lymphocele, initially, the tumor recurrence should be ruled out.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Lymphocele in a Patient with Primary Ovarian Cancer: A Case Report

Seresht

Izadi

Yousefi

et al. 2017

J Obstet Gynecol Cancer Res

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Introduction: In patients with female genital tract cancers, during treatment, differentiating between a tumor recurrence and a benign phenomenon is of great importance. This study aimed to report a case of retroperitoneal lymphocele in a patient with primary ovarian cancer. Case Presentation: A 49-year-old woman diagnosed with papillary serous ovarian carcinoma was referred to the oncology clinic in 2017. She was treated with an optimal surgical staging and underwent adjuvant chemotherapy. After 3 courses of chemotherapy, she complained of a large abdominal mass in the umbilical area. Evaluating the mass confirmed retroperitoneal lymphocele, which was treated with a non-surgical therapy. Conclusions: Pelvic mass in patients with previous ovarian cancer is not necessarily due to the recurrence of the tumor and the possibility of lymphocele diagnosis should be considered. Since preventing the causes of lymphocele is very difficult, it is only necessary to carefully follow-up and provide essential consultations for highrisk patients.

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“…Лимфатические кисты возникают на 7-14-е сутки после операции и в большинстве сво-ем протекают бессимптомно. Клиническая картина симптомных лимфатических кист, которые возникают в 0,7-5,75 % случаев, проявляются болью, повышени-ем температуры тела, гидронефрозом, частыми позы-вами к мочеиспусканию, тромбозом вен нижних ко-нечностей [25,26]. Г и н е к о л о г и я / G y n e c o l o g y Авторы исследований, которые проводились для определения факторов, имеющие наибольшее вли-яние на формирование лимфатических кист, выделяют тип оперативного доступа (лапаротомия или лапаро-скопия), число удаленных лимфатических узлов, их метастатическое поражение, индекс массы тела, адъювантную лучевую терапию [27].…”

Section: Introductionunclassified