[Evaluation of paraaortic lymph node metastasis in patients with primary epithelial carcinoma of the ovary].
From 1979-1986, 110 patients with an ovarian cancer have been treated at Kyushu University Hospital. Sixty-eight of these patients with untreated primary adenocarcinoma of the ovary underwent a paraaortic lymph node (PAN) biopsy at the time of their initial surgery. Twenty-two of these 68 patients were found (32.4%) to have a positive PAN. Microscopic PAN metastases were present in 4 patients, who, macroscopically, seemed to have the disease confined to the pelvis. The incidence of a positive PAN was seen to correlate with the clinical stage and degree of differentiation of the primary tumor. Positive PANs were more frequent in cases of a serous rather than a mucinous carcinoma. All 5 patients with a metastatic adenocarcinoma originating from the stomach or the colon had a positive PAN. It thus has been concluded that a PAN evaluation is important for the management of ovarian cancer.
Matsukuma
K
K
Dept. of Gyne & Obstet, Kyushu Univ. Faculty of Med.
Tsukamoto
N
N
Tou
N
N
Sugihara
K
K
Saito
T
T
Kaku
T
T
Kamura
T
T
Matsuyama
T
T
Nakano
H
H
D000230:Adenocarcinoma / Q000473:pathology; D002288:Adenocarcinoma, Mucinous / Q000473:pathology; D000328:Adult; D001011:Aorta; D001706:Biopsy; D003536:Cystadenocarcinoma / Q000473:pathology; D004715:Endometriosis / Q000473:pathology; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*; D011379:Prognosis