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Advanced care palnning

Akio Kaito, Takahiro Kinoshita, Masanori Tokunaga, Hideki Sunagawa, Masahiro Watanabe, Shizuki Sugita, Akiko Tonouchi, Reo Sato, Iku Abe, Tetsuo Akimoto
BACKGROUND: The role of para-aortic lymph node (PALN) dissection for far-advanced gastric cancer is controversial in patients with clinical PALN positivity who have responded to chemotherapy. MATERIALS AND METHODS: We retrospectively analyzed long-term outcomes of patients with pathologically-positive PALNs who underwent radical gastrectomy. RESULTS: The 3- and 5-year overall survival (OS) rates of 65 pathologically PALN-positive patients who underwent PALN dissection (n=704) were 33...
July 2017: Anticancer Research
Roos Marthe Smits, Petra L M Zusterzeel, Ruud L M Bekkers
OBJECTIVE: The aims of this study were to evaluate the safety and impact of pretreatment surgical para-aortic lymph node staging (PALNS) in advanced cervical cancer (International Federation of Gynecology and Obstetrics stage IB2-IVA) and to evaluate the preoperative imaging of PALNs. METHODS: We searched in PubMed and the Cochrane Library to identify data investigating the role of surgical PALNS. Selection criteria included English-language and advanced-stage cervical cancer (International Federation of Gynecology and Obstetrics stage IB2-IVA) articles...
July 2014: International Journal of Gynecological Cancer
Masanori Tokunaga, Shigekazu Ohyama, Naoki Hiki, Tetsu Fukunaga, Susumu Aikou, Toshiharu Yamaguchi
BACKGROUND: The prognosis of patients with gastric cancer and para-aortic lymph node (PALN) metastasis is poor. Recent Japanese randomized trials concluded that prophylactic PALN dissection is not effective for curable advanced gastric cancer. However, the value of curative resection in patients with pathologically positive PALN is not determined yet. METHODS: We retrospectively identified 178 patients with pathologically positive PALN who underwent curative resection at the Cancer Institute Hospital from 1980 to 2004...
August 2010: Annals of Surgical Oncology
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