Regional lymphadenectomy in advanced ovarian cancer: The enigma continues

• 作者: Dharma Ram Poonia Pankaj Kumar Garg Rajkumar K Seenivasagam Sandipan Chowdhury
• 来源期刊: 世界外科手术杂志
• 学科: 医学
• 关键词: OVARIAN cancer LYMPHADENECTOMY SURVIVAL RETROPERITONEUM
• 年，卷（期）: 2020,（1）
• 页码范围: 1-2
• 页数: 2页
• 分类号: R73

摘要

The role of regional lymphadenectomy has always been a matter of discussion in the surgical management of solid tumors–Pelvic and para-aortic lymphadenectomy in ovarian cancer is one such issue.A recently published randomized trial suggested that regional lymphadenectomy in patients with advanced ovarian cancer is unlikely to offer a survival advantage.However,para-aortic and pelvic lymphadenectomy is warranted in the presence of macroscopically suspicious nodes to achieve complete cytoreduction.A longterm follow-up of the trial will demonstrate whether a prophylactic regional lymphadenectomy is associated with survival benefit in a subgroup of patients with advanced ovarian cancer who have grossly normal regional lymphnodes as evident in a widely open retroperitoneum.