[An evaluation of para-aortic and pelvic lymph node metastases in patients with endometrial carcinoma].
During 1979-1986, 101 patients with an endometrial carcinoma were treated. Eighty-four of these patients underwent a para-aortic lymph node (PAN) biopsy at the time of their initial surgery, eight of whom (9.5%) were found to have a positive PAN. The incidence of positive PAN as per each clinical stage, was as follows: stage I, 2.0%; II, 11.5%; III, 50%; and, IV, 33.3%. Positive pelvic nodes were found in 19.2% of the patients, per the following stages: stage I, 6.1%; II, 32%; and, III & IV, 100%. This finding suggests that PAN metastasis occurs after the pelvic nodes are involved. A 5-year survival rate of approximately 50% is expected even in patients with a positive PAN. Thus our study concludes that an evaluation of para-aortic and pelvic lymph nodes is important for the management of an endometrial carcinoma.
Dept. of Gyne. & Obstet., Kyushu Univ. Faculty of Med.
N
N
Tsukamoto
K
K
Matsukuma
T
T
Saito
T
T
Matsuyama
T
T
Kamura
T
T
Kaku
T
T
Suenaga
D000328:Adult; D000368:Aged; D001011:Aorta; D001706:Biopsy; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009367:Neoplasm Staging; D010388:Pelvis; D014594:Uterine Neoplasms / Q000401:mortality / Q000473:pathology*