Percutaneous lymph node aspiration in patients with gynecologic tumors.
Sixty-one patients with gynecologic malignancies had percutaneous transperitoneal lymph node aspiration performed by a flexible 8-inch needle guided to the nodes under monoplanar fluoroscopy. Of the patients who had malignant cells aspirated from pelvic and periaortic lymph nodes, 64% died or are alive with disease. Only 30% who had negative cytologic testing died or are alive with disease. Of the patients who had malignant cells aspirated from periaortic nodes, 69% died or are alive with disease whereas only 8% with negative cytologic testing died or are alive with disease. We believe that therapy such as extended field irradiation can be given on the basis of these results.
D001011:Aorta; D001202:Ascitic Fluid / Q000166:cytology; D001707:Biopsy, Needle / Q000295:instrumentation; D005260:Female; D005471:Fluoroscopy; D005833:Genital Neoplasms, Female / Q000401:mortality / Q000473:pathology* / Q000532:radiotherapy; D006801:Humans; D007264:Inguinal Canal; D008198:Lymph Nodes / Q000473:pathology*; D008220:Lymphography; D010388:Pelvis