An evaluation of para-aortic and pelvic lymph node metastases in patients with endometrial carcinoma

N. Tsukamoto, K. Matsukuma, T. Saito, T. Matsuyama, T. Kamura, T. Kaku, T. Suenaga

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1705-1711
Number of pages7
JournalGan no rinsho. Japan journal of cancer clinics
Volume33
Issue number13
Publication statusPublished - Oct 1987

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