title: A formula for selective lymphadenectomy. Its application to cancer of the vulva.
abstract: A statistical formula can be applied to aid clinical judgment in decisions regarding the advisability of lymphadenectomy in gynecologic cancer. If benefit (B) factors in a given case do not exceed debit (D) factors, the procedure is ill-advised. In unilateral vulvar cancer, for example, if the ipsilateral inguinal nodes are negative, the risks from routine contralateral or deep pelvic node dissection appear to exceed the benefits.
mesh_terms: D000328:Adult; D000368:Aged; D003237:Connecticut; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008875:Middle Aged; D011183:Postoperative Complications; D012306:Risk; D014846:Vulvar Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*