IMR Press / EJGO / Volume 21 / Issue 2 / pii/2000130

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Isolated para-aortic node involvement in stage IB/11 cervical carcinoma

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1 Department of Gynecologic Surgery, Pathology Oncology and Brachytherapy, Institute Gustave Roussy, Villejuif, France
Eur. J. Gynaecol. Oncol. 2000, 21(2), 123–125;
Published: 10 April 2000

The aim of this report was to describe exceptional cases of patients treated for stage Ib and II cervical carcinoma with isolated para-aortic node involvement and to deduce therapeutic implications. Between 1985 and 1998, 491 women with stage IB or II cervical carcinoma underwent radical hysterectomy with systematic pelvic and para-aortic lymphadenectomy. Five patients had para­aortic metastatic nodes but no external iliac, obturator or common iliac node involvement. These five patients had a tumor size >3 cm. According to these cases, in patients with bulky cervical carcinoma systematic complete lymphadenectomy should be performed in order to avoid misdiagnosis of para-aortic node involvement.

Cervical carcinoma
Metastatic nodes
Para-aortic nodes
Bulky tumors
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