[Value an immediate histological study of the lymph nodes at the time of surgical treatment of cancer of the uterine cervix].
From 1978 to 1989, 500 external iliac lymph node dissections were carried out at the Institut Curie during surgery for cancers of the uterine cervix. The percentage of error of the histological study of the lymph node was 2.8%, including 13 false-negative findings and 1 false-positive. In 1.8% of cases (9), there were doubts as to lymph node invasion, and no confirmation was possible. The most frequent cause of error was the failure to recognize partial invasion of a lymph node. Fibrosis and necrosis secondary to preoperative radiation therapy make the intraoperative histological study more difficult.
Cornely
J R
JR
Section Médicale et Hospitalière, Institut Curie, Paris.
Validire
P
P
Clough
K B
KB
Durand
J C
JC
D002584:Cervix Uteri / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D011300:Preoperative Care; D013997:Time Factors; D014594:Uterine Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*
Valeur de l'examen histologique extemporané des ganglions lors du traitement chirurgical des cancers du col utérin.