Staging surgery standardly involves a total abdominal hysterectomy, bilateral salpingo-oophorectomy, systematic pelvic-paraaortic lymphadenectomy
, omentectomy, and cytologic sampling.
In our case, the decision for lymphadenectomy
was taken given the high probability of metastasis in regional lymph nodes on the CT-scan performed 12 months after resection.
Both adjuvant S1 and CAPOX treatment regimens seem to improve the survival after gastrectomy with D2 lymphadenectomy
. However, the efficacy of medications may vary based on geographic location.
in gynecologic and solid malignancies other than melanoma and breast cancer.
We did not take a standard criterion for lymphadenectomy
; these patients underwent systematic lymphadenectomy
Given the morbidity associated with complete lymphadenectomy
, more recent studies have investigated and supported a role for sentinel lymph node biopsy in women with endometrial cancer.
In this study functional outcomes were prospectivelycomparedbetweenthestandardRoux-en-Y and Double-tract reconstruction following a total gastrectomy and D2 lymphadenectomy
for gastric cancer.
In this study, we evaluated the efficacy of limited (D1-LND) versus extended lymphadenectomy
(D2-LND) for a consecutive group of patients with gastric adenocarcinoma, having been treated in a subspecialized oncologic surgery unit during the last two decades.
Results of the National Cancer Institute-sponsored Multicenter Selective Lymphadenectomy
Trial-II (MSLT-II) demonstrated not even a hint of a difference in 3-year melanoma-specific survival in 1,934 melanoma patients with sentinel lymph node metastases regardless of whether they were randomized to immediate completion lymph node dissection or ultrasound-based nodal monitoring.
was performed in 8 (33%) surgical patients, with an average lymph node count of 2, all with an open procedure, and 4 (17%) had positive disease.
For endometrial cancer, the role of lymphadenectomy
This text contains 12 chapters by surgeons, dermatologists, and oncologists from the US, who detail surgical aspects of skin cancer, and specifically cover the prevention of future skin cancer; clinical detection; treatment of squamous and basal cell carcinoma, cutaneous melanoma, and rare skin malignancies; Mohs micrographic surgery; radiotherapy; the surgical implications of systemic therapy; common reconstructive techniques after facial skin cancer excision; operative lymphadenectomy
; dermatopathology; and high-risk cutaneous malignancies.