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  • br Krieger N Overcoming the

    2020-08-14


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    Contents lists available at ScienceDirect
    Current Problems in Cancer
    journal homepage: www.elsevier.com/locate/cpcancer
    Association of lymphadenectomy and survival in epithelial ovarian cancer
    Ozlem Ercelep a,∗, Melike Ozcelik a, Mahmut Gumus b
    a Department of Medical Oncology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey b Department of Medical Oncology, Faculty of Medicine, Bezmi Alem Vakif University, Istanbul, Turkey
    Purpose: Lymph node metastasis has a significant contribu-
    Keywords: tion to the prognosis of epithelial ovarian cancer but the role
    Lymphadenectomy of lymph node dissection in treatment is not clear. In this
    Ovarian cancer study, we aimed to retrospectively determine the effect of
    Survival
    the number and localization of lymph nodes removed and
    Epithelial
    the number of metastatic lymph nodes on survival.
    Methods: In this study, we retrospectively reviewed the data
    of 378 patients (210 patients with lymph node dissection
    and 168 patients with no dissection) who underwent pri-
    mary surgery between 2004 and 2014 in various centers
    with epithelial ovarian cancer diagnosis and followed up in
    our medical oncology clinic. Demographic and histopatho-
    logic features, stage, Ca 125 levels, chemotherapy responses
    of these patients were examined and survival analyzes were
    performed.
    Results: The median age of the patients was 52 years (range
    phadenectomy had significantly improved progression free
    patients with >10 lymph nodes removed compared to pa-
    ✩ Compliance with ethical standards. Disclosure of potential conflicts of interest: None. Research involving human participants and/or animals: Not applicable because the study was retrospective.
    ∗ Correspondence to: Ozlem Ercelep, Department of Medical Oncology, Pendik Education and Research Hospital, Mar-mara University, Istanbul, Turkey.
    E-mail address: [email protected] (O. Ercelep).
    was found to be longer in patients with pelvic and paraaortic lymph node dissection compared to patients with only pelvic lymph node dissection (P < 0.05). Patients in stage I-II had no difference in PFS and OS. Patients in stage III-IV had no difference in PFS but there was a significant difference in OS (P = 0.02).
    Conclusion: It may be a therapeutic effect of lymphadenec-tomy in advanced stage ovarian cancer. The number of lymph nodes removed and the removal of the paraaortic lymph nodes may also contribute to the treatment.