Evaluation of paraaortic lymph node metastasis in patients with primary epithelial carcinoma of the ovary

K. Matsukuma, N. Tsukamoto, N. Tou, K. Sugihara, T. Saito, Tsunehisa Kaku, T. Kamura, T. Matsuyama, H. Nakano

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Abstract

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.

Original languageEnglish
Pages (from-to)985-989
Number of pages5
JournalGan no rinsho. Japan journal of cancer clinics
Volume34
Issue number8
Publication statusPublished - Jan 1 1988

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    Matsukuma, K., Tsukamoto, N., Tou, N., Sugihara, K., Saito, T., Kaku, T., Kamura, T., Matsuyama, T., & Nakano, H. (1988). Evaluation of paraaortic lymph node metastasis in patients with primary epithelial carcinoma of the ovary. Gan no rinsho. Japan journal of cancer clinics, 34(8), 985-989.