IMR Press / EJGO / Volume 8 / Issue 1 / pii/1987006

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.

Original Research

Two cases of clinical ib stage cervix carcinoma with exclusive metastases to presacral lymph-nodes

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1 Institute of Gynaecology and Obstetrics, Chair B, University of Turin, Italy
2 Instiute of Oncology, Surgery Department, Chair of Surgical Oncology University of Turin, Italy
Eur. J. Gynaecol. Oncol. 1987, 8(1), 25–27;
Published: 10 February 1987

There is regular progression of metastases through different stations of pelvic lymph nodes as far as para-aortic lymphnodes in 81.1 % of the cases examined of cervix carcinoma. In this paper we report two cases of squamous carcinoma of the cervix with metastases limited to one presacral lymph node, while other pelvic and para-aortic lymph nodes were free. These cases are two examples of irregularity of invasion of metastases from cervix carcinoma. It is extremely rare that presacral station is single and first invaded without extention of lower lymph nodal level. Our technique of pre-sacral lamina excision in connection with the inferior bridge of para-aortic and para-caval connective tissue during para-aorticlymphadenectomy is confirmed.
The fatal outcome of the first patient's case ,is related to such risk factors lymph nodes metas­ tases, deep infiltration of the cervix and involvement of lower section of the uterus. The second patient was free of disease within four months from surgery. 

Cervix carcinoma
Presacral lymph-nodes metastases
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