1991
DOI: 10.1016/0090-8258(91)90099-q
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Patterns of pelvic and paraaortic lymph node involvement in ovarian cancer

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Cited by 272 publications
(97 citation statements)
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“…1 Although it has been reported that the prognosis of patients with USO was not as satisfactory as that of patients with both hysterectomy and BSO, 18 the present study demonstrated that the preservative operation was effective, because adjuvant chemotherapy including cisplatin improved the overall prognosis of stage I patients. Although lymphadenectomy is not yet regarded as standard treatment in stage I ovarian cancer, 14 the frequency of lymph node metastasis has been reported to be 23% 20 and 24%, 21 higher than the rate of 5.5% in this study.…”
Section: Discussioncontrasting
confidence: 81%
“…1 Although it has been reported that the prognosis of patients with USO was not as satisfactory as that of patients with both hysterectomy and BSO, 18 the present study demonstrated that the preservative operation was effective, because adjuvant chemotherapy including cisplatin improved the overall prognosis of stage I patients. Although lymphadenectomy is not yet regarded as standard treatment in stage I ovarian cancer, 14 the frequency of lymph node metastasis has been reported to be 23% 20 and 24%, 21 higher than the rate of 5.5% in this study.…”
Section: Discussioncontrasting
confidence: 81%
“…Epithelial ovarian carcinomas have higher prevalence rates for both aortic and pelvic lymph node metastases 10 -12 compared with other gynecologic malignancies. 13,14 We have demonstrated that over 20% of patients with intraperitoneal tumors limited to the pelvis are classified as Stage III based on the detection of positive lymph nodes by systematic aortic and pelvic lymphadenectomy. 15 When only lymph node biopsies are performed, the prognoses of Stage III patients upstaged based on lymph node positivity are known to be as poor as those of patients with Stage III based on intraperitoneal tumor spread.…”
mentioning
confidence: 99%
“…It has been reported that lymph node metastases are frequently demonstrated (24%) even in patients whose intraabdominal findings indicate stage I disease. 31 Kuramoto et al 18 reported a patient in whom a micrometastatic lesion was detected in the paraaortic lymph node, although the tumor was judged to be stage Ia from the pelvic cavity findings. Adachi and colleagues 32 reported a patient who underwent simple total hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymphadenectomy and was diagnosed with stage Ia ovarian carcinoma, who had a recurrence in the paraaortic lymph node within 6 months of the surgery.…”
Section: Discussionmentioning
confidence: 97%