Paraaortal Lymphadenectomy in Gynecology.
Theoretical Principles, Basic Procedures and
Practical Recommendations.
Špaček J.1, Veselský Z.2, Tošner J.1, Tesařík Z.3
1Porodnická a gynekologická klinika, FN v Hradci Králové, přednosta doc. MUDr. J. Tošner, CSc. 2Urologická klinika, FN v Hradci Králové, přednosta doc. MUDr. P. Morávek, CSc.3Bristol-Myers Squibb, s. r. o. Onkologická divize, Praha |
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Summary:
Objective: To present a review of para-aortic lymphadenectomy in gynecology.
Subject: Review.
Setting: Department of Obstetrics and Gynecology, Department of Urology, Medical Faculty Hradec
Králové, Charles University, Prague; Bristol-Myers Squibb, Department of Oncology, Prague.
Subject and Method: Discussion about current evidence from literature and our own experience.
Conclusion: In the past 20 years, pelvic and paraaortic lymphadenectomy has become part of the
standard surgical treatment of ovarian cancer. Overall, about 40% of patients with ovarian cancer
will have nodal involvement. Regarding to this real probability is para-aortic lymphadenectomy
very important part of surgical treatment in this disease.
Key words:
para-aortic lymphadenectomy, ovarian cancer, metastatic involvement
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