Problems of paraaortic lymphonodes in endometrial cancer
Authors:
M. Kubecová; B. Svoboda; K. Nekolná; K. Tikovský
Authors place of work:
Radioterapeutická a onkologická klinika 3. LF UK a FNKV, Praha
1; Gynekologicko-porodnická klinika 3. LF UK a FNKV Praha
2
Published in the journal:
Prakt Gyn 2007; 11(3): 135-137
Summary
Endometrial cancer is the most common gynaecological malignancy. Surgery is the main treatment modality. This metod is often combined with radiotherapy. Postoperative radiotherapy is indicated in presence of risk factors. Radiotherapy of regional lymphonodes is often limited on the small pelvis (not on the paraaortic lymphonodes). We had 36 patients (pT1c without paraaortic lymfadenectomy) after radiotherapy on the small pelvis. In this groupe we did not see local reccurences, but we had 4 patients with metastases in paraaortic lymphonodes and 1 patient with distant metastases. We would like to start a trial, when patients who underwent pelvic lymphadenectomy (without paraaortic lymphadenectomy) – pT1c, pT2a,b – invasion to myometrium pT1c,pN0 – will be treated by postoperative radiotherapy only on the paraaortic lymphonodes and additional vaginal brachytherapy.
Key words:
endometrial cancer, lymphadenectomy, postoperative radiotherapy
Zdroje
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Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineČlánok vyšiel v časopise
Practical Gynecology
2007 Číslo 3
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