Maximum effort in the management of ovarian cancer, including pelvic and para-aortic lymphadenectomy.
Patients treated for ovarian cancer at the Mercy Hospital for Women, Melbourne over a 5 1/2 year period were studied with an emphasis on the need for lymphadenectomy. There were 80 patients identified with ovarian cancer. Forty patients underwent pelvic and/or para-aortic lymphadenectomy and 25 (62.5%) were found to have lymph node metastases, in 7 of the 40 women the lymphadenectomy resulting in upstaging of the disease. FIGO has adopted a surgicopathological approach to the staging of ovarian cancer and this requires lymphadenectomy to be performed. The importance of accurate staging in clinically early ovarian cancer and maximum surgical effort in advanced disease is discussed with particular regard to the place of lymphadenectomy.
Allen
D G
DG
Gynaecological Oncology Unit, Mercy Hospital for Women, Melbourne, Victoria, Australia.
Planner
R S
RS
Grant
P T
PT
D002272:Carcinoembryonic Antigen / Q000032:analysis; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008485:Medical Audit; D008875:Middle Aged; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000276:immunology / Q000473:pathology / Q000601:surgery*; D012187:Retroperitoneal Space
D002272:Carcinoembryonic Antigen