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Thomas Kunit, Günter Janetschek
Although the standard approach of retroperitoneal lymphadnectomy (RLA) is open surgery, laparoscopy is an emerging technique in urology and reports of laparoscopic RLA are increasing. This article presents the indications, technique, and outcome of RLA as primary treatment and post-cisplatin-based chemotherapy by means of laparoscopy. In expert hands RLA is minimally invasive and reduces morbidity in comparison with open surgery, with the same oncologic outcome. However, patient selection is crucial.
August 2015: Urologic Clinics of North America
Hua Tu, He Huang, Qi-dan Huang, Zheng Li, Yan-ling Feng, Ji-hong Liu
OBJECTIVE: To evaluate the management and survival of lymph node region recurrence of epithelial ovarian cancer (EOC), and discuss its suitable therapeutic strategy. METHODS: Thirty-eight patients with the recurrence of lymph node region were extracted from 1945 patients who were diagnosed EOC and treated in Sun Yat-sen University Cancer Center from January 1995 to December 2008. The clinical characteristics, therapy methods and survival of them were retrospectively analyzed...
December 2012: Zhonghua Fu Chan Ke za Zhi
A Pereira, N Irishina, T Pérez-Medina, J F Magrina, P M Magtibay, A Kovaleva, A Rodríguez-Tapia, E Iglesias
OBJECTIVE: Since 1985 International Federation of Gynecology and Obstetrics includes pelvic and aortic lymphadenectomy as part of the surgical staging in epithelial ovarian cancer (EOC). There is no consensus on the overall number of nodes needed in a systematic lymphadenectomy. The aim of this study is to calculate the optimal cut-off value using a mathematical modeling approach. METHODS: Data was collected retrospectively, from 1996 to 2000, of 120 consecutive Mayo Clinic patients with EOC and positive nodes...
March 2013: European Journal of Surgical Oncology
Wojciech Ordon, Andrzej Malinowski, Paweł Pawłowicz
The following is a case report documenting a 53-year old patient with extremely advanced vulva cancer (stage IV). The patient needed urgent operative treatment because of massive bleeding from large tumor located inside and out of the vagina. The prime step was to stop tumor hemorrhage, perform cystotomy and decompression of the urinary bladder and exteriorization of artificial anus. Second operation was a conventional oncologic procedure, which contained: radical vulectomy, hysterosalpingo-oophorectomy, cystectomy with excision of the urethra, the excision of almost the entire vagina, lymphadnectomy of the left inguinal lymph nodes and iliac lymph nodes...
January 2008: Ginekologia Polska
K Utsugi, Y Shimizu, F Akiyama, K Hasumi
BACKGROUND: Recurrence of FIGO stage IA1 cervical adenocarcinoma is extremely rare. We herein report a patient with early invasive cervical adenocarcinoma who developed a recurrence in the vaginal stump. CASE: A 52-year-old female complained of contact bleeding. Biopsy of the uterine cervix verified cervical adenocarcinoma, and the patient underwent Okabayashi hysterectomy with pelvic lymphadnectomy and bilateral adnectomy. Histopathologic examination of the uterus revealed an invasive cancer 3 mm in depth...
July 2001: Gynecologic Oncology
E A Sijmons, A P Heintz
About 40 years ago, second-look laparotomy (SLL) was introduced to evaluate, surgically and pathologically, primary treatment in case a clinical complete remission was obtained in ovarian cancer patients. But does SLL increase the disease-free or overall survival? Important technical aspects of the procedure as: how many biopsies should be taken, can laparoscopy be replaced by laparotomy and should complete lymphadnectomy be performed at SLL, are still not clarified. This and maybe even more important issues, are disputed in literature: for instance, should a SLL be done at all, or should a SLL be performed in order to do a secondary cytoreduction in case tumour is found at the operation...
July 2000: Seminars in Surgical Oncology
H Noguchi, K Shiozawa, T Tsukamoto, Y Tsukahara, S Iwai, T Fukuta
A postoperative classification for uterine cervical cancer has been made in consideration of the spatial spreading of cancer, biological malignancy of 120 cases which were treated with radical hysterectomy and pelvic lymphadnectomy. This classification corresponds extremely well to prognosis. The 5-year survival of the cases with prognostic index (P.I.) 9 or less was 96.1%, while those with P.I. above 10 showed 31.8%. In the Shinshu University School of Medicine clinic, this classification has become indispensable for decision of postoperative irradiation, selection of irradiation methods, and chemotherapeutic agents...
October 1983: Gynecologic Oncology
N A Berman
Two hundred patients with seminomas were under observation in the urological clinic of the N.N Petrov Research Institute of Oncology. The histological characteristic of 3 groups of seminomas is presented; spermatocytic seminomas (Masson seminoma)--in 9 patients, Chevassu seminomas (dysgerminomas)--in 95, and dysgerminomas with the syncytio-and cytotrophoblast elements--in 86. Observations over the patients indicated that Chevassu seminomas (dysgerminomas) metastases are highly sensitive to radiotherapy and sarcolysin, while Masson seminoma metastases and dysgerminomas with the trophoblast elements would show resistance to the therapy of this kind...
1979: Voprosy Onkologii
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