Anatomy of pelvic and para-aortic nodal spread in patients with primary fallopian tube carcinoma

Systematic Lymphadenectomy Improves Survival in Patients with Advanced-Stage Primary Fallopian Tube Cancer

“…Aggressive cytoreductive surgery with removal of as much tumor as possible is warranted in patients with advanced disease. Anatomically, lymphatic drainage from the fallopian tubes to pelvic nodes occurs through lymphatic channels located near the proximal part of the uterus and drainage to paraaortic nodes is ensured through lymphatic channels in the distal part of tubes and fimbria (Deffieux et al 2005). Recent report showed that left para-aortic chain above the Fig.…”

“…level of the inferior mesenteric artery is the most frequently involved in patients with PFTC and unlike patients with EOC, lymph node involvement is observed even in patients with disease confined to one tube (stage IA) and in patients with an early stage endometrioid tumor (Deffieux et al 2005). As a results, lymphadenectomy should be performed routinely whatever the disease stage (provided a complete surgical resection of the intraabdominal tumor is feasible) and whatever the histologic type of PFTC considering the strong tendency for the lymphatic spread.…”

“…It has been reported that the extent of lymphadenectomy is associated with an improved disease-specific survival of women with advanced-stage EOC (Chan et al 2007). In case of PFTC, few series have studied the frequency and precise distribution of nodal involvement (Deffieux et al 2005) or role of systematic lymphadenectomy (Klein et al 1999). The correct staging was obtained only on the basis of pelvic and para-aortic lymphadenectomy, and radical lymphadenectomy in tumors of equal size appeared to markedly prolong survival in PFTC (Klein et al 1999).…”

Cancer of the ovary, fallopian tube, and peritoneum

“…If the preoperative suspicion is malignancy, a laparotomy should be performed. If there is no visible or palpable evidence of metastasis, the following should be performed for adequate staging [1,10,11,13,14]:…”

Primary Carcinoma of The Fallopian Tube: A case report

“…Tuba uterinanın primer karsinomları çok nadirdir ve jinekolojik kanserlerin %0,14-1,8'ini oluşturmakta-dır (1)(2)(3) . Ülkemizde sıklığı bu oranlarda beklenmekle birlikte belirsizdir.…”