How to manage lymph nodes in ovarian cancer

被引:28
作者
Harter, Philipp [1 ]
Heitz, Florian [1 ]
Ataseven, Beyhan [1 ,2 ]
Schneider, Stephanie [1 ]
Baert, Thais [1 ,3 ]
Prader, Sonia [1 ]
du Bois, Andreas [1 ]
机构
[1] Ev Kliniken Essen Mitte, Dept Gynecol & Gynecol Oncol, Henricistr 92, D-45136 Essen, Germany
[2] Ludwig Maximilian Univ Munich, Univ Hosp, Dept Obstet & Gynecol, Munich, Germany
[3] Katholieke Univ Leuven, Dept Oncol, ImmunOvar Res Grp, Lab Tumor Immunol & Immunotherapy, Leuven, Belgium
关键词
advanced ovarian cancer; early ovarian cancer; lymphadenectomy; Lymphadenectomy in Ovarian Neoplasms (LION); COMBINED EXPLORATORY ANALYSIS; PROGNOSTIC-SIGNIFICANCE; ADJUVANT CHEMOTHERAPY; LYMPHADENECTOMY; METASTASIS; TRIAL; CARCINOMA; PREVALENCE; TUMORS;
D O I
10.1002/cncr.32514
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The indication for staging lymphadenectomy in patients with ovarian cancer (both early- and late-stage disease) has been a major topic of debate in the last decades. Because the Lymphadenectomy in Ovarian Neoplasms (LION) study has recently demonstrated that systematic lymphadenectomy is not beneficial to patients with advanced ovarian cancer, the discussion has become more complex for patients with early-stage ovarian cancer. Further factors, such as differences in the lymph node metastasis rates of different histologic subtypes, which were not known in the past, need to be taken into account. This review is focused on the available evidence concerning lymphadenectomy in patients with newly diagnosed ovarian cancer.
引用
收藏
页码:4573 / 4577
页数:5
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