scholarly journals Prediction of lymph node involvement in epithelial ovarian cancer by PET/CT, CT and MRI imaging

2021 ◽  
Vol 42 (3) ◽  
pp. 506
Keyword(s):  
Ovarian Cancer ◽  
Lymph Node ◽  
Epithelial Ovarian Cancer ◽  
Lymph Node Involvement ◽  
Mri Imaging ◽  
Pet Ct ◽  
Node Involvement ◽  
Ct And Mri

Lymph Node Involvement in Epithelial Ovarian Cancer

2009 ◽  
Vol 19 (8) ◽  
pp. 1307-1313 ◽  
Author(s):  
Marion Fournier ◽  
Eberhard Stoeckle ◽  
Frédéric Guyon ◽  
Véronique Brouste ◽  
Laurence Thomas ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Lymph Node ◽  
Epithelial Ovarian Cancer ◽  
Lymph Node Involvement ◽  
Node Involvement

scholarly journals Role of pelvic and para-aortic lymphadenectomy in epithelial ovarian cancers

2019 ◽  
Vol 9 (1) ◽  
pp. 328
Author(s):  
Pankush Gupta ◽  
Sunesh Kumar ◽  
Seema Singhal ◽  
Jyoti Meena ◽  
Sandeep Mathur ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Lymph Node ◽  
Epithelial Ovarian Cancer ◽  
Operating Time ◽  
Lymph Node Involvement ◽  
Peritoneal Cytology ◽  
Nodal Involvement ◽  
Surgical Morbidity ◽  
Ovarian Cancers ◽  
Node Involvement

Background: Lymphadenectomy in epithelial ovarian cancers has remained a controversial subject. Lack of robust evidence on survival benefits and surgical morbidity associated questions its role in the era of adjuvant chemotherapy. The present study assessed pelvic and para-aortic lymph node removal in epithelial ovarian cancer in Indian women and tried to find clinicopathological correlation of nodal involvement and postoperative implications of lymphadenectomy.Methods: Thirty patients with diagnosis of epithelial ovarian cancer posted for primary debulking surgery were recruited and underwent staging laparotomy along with pelvic and para-aortic lymphadenectomy. Nodal involvement was confirmed on histopathology and various parameters which could predict nodal metastasis were assessed. Patients were followed up for 12 months post-surgery.Results: Nodal yield was ten for pelvic and four for paraaortic nodes. Pelvic node involvement was seen in 26.6% (8/30) of the patients and para-aortic in 15% (3/20) of the patients. Serous histology, higher grade, stage 3 and above, positive peritoneal cytology, omental involvement showed a higher lymph node involvement though not statistically significant. Para-aortic lymphadenectomy was associated with increased operating time, blood loss and longer hospital stay.Conclusions: Lymphadenectomy increases morbidity and decision should be based on predictors of nodal involvement.

Lymph node involvement in epithelial ovarian cancer: analysis of 276 pelvic and paraaortic lymphadenectomies and surgical implications

2003 ◽  
Vol 197 (2) ◽  
pp. 198-205 ◽  
Author(s):  
Philippe Morice ◽  
Franklin Joulie ◽  
Sophie Camatte ◽  
David Atallah ◽  
Roman Rouzier ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Lymph Node ◽  
Epithelial Ovarian Cancer ◽  
Lymph Node Involvement ◽  
Node Involvement

LYMPH NODE INVOLVEMENT IN EPITHELIAL OVARIAN CANCER: ANALYSIS OF 276 PELVIC AND PARA-AORTIC LYMPHADENECTOMIES

2003 ◽  
Vol 13 (Suppl 1) ◽  
pp. 37.2-37
Author(s):  
P. Morice ◽  
F. Joulie ◽  
D. Atallah ◽  
S. Camatte ◽  
R. Rouzier ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Lymph Node ◽  
Epithelial Ovarian Cancer ◽  
Lymph Node Involvement ◽  
Node Involvement

scholarly journals Assessment of Lymph Node Involvement with PET-CT in Advanced Epithelial Ovarian Cancer. A FRANCOGYN Group Study

2021 ◽  
Vol 10 (4) ◽  
pp. 602
Author(s):  
Antoine Tardieu ◽  
Lobna Ouldamer ◽  
François Margueritte ◽  
Lauranne Rossard ◽  
Aymeline Lacorre ◽  
...  
Keyword(s):  
Lymph Node ◽  
False Negative ◽  
False Negative Rate ◽  
Lymph Node Involvement ◽  
Accuracy Rate ◽  
Peritoneal Cancer ◽  
Negative Rate ◽  
Number Of Patients ◽  
Pet Ct ◽  
Node Involvement

The objective of our study is to evaluate the diagnostic performance of positron emission tomography/computed tomography (PET-CT) for the assessment of lymph node involvement in advanced epithelial ovarian, fallopian tubal or peritoneal cancer (EOC). This was a retrospective, bicentric study. We included all patients over 18 years of age with a histological diagnosis of advanced EOC who had undergone PET-CT at the time of diagnosis or prior to cytoreduction surgery with pelvic or para-aortic lymphadenectomy. We included 145 patients with primary advanced EOC. The performance of PET-CT was calculated from the data of 63 patients. The sensitivity of PET-CT for preoperative lymph node evaluation was 26.7%, specificity was 90.9%, PPV was 72.7%, and NPV was 57.7%. The accuracy rate was 60.3%, and the false-negative rate was 34.9%. In the case of primary cytoreduction (n = 16), the sensitivity of PET-CT was 50%, specificity was 87.5%, PPV was 80%, and NPV was 63.6%. The accuracy rate was 68.8%, and the false negative rate was 25%. After neoadjuvant chemotherapy (n = 47), the sensitivity of PET-CT was 18.2%, specificity was 92%, PPV was 66.7%, and NPV was 56.1%. The accuracy rate was 57.5%, and the false negative rate was 38.3%. Due to its high specificity, the performance of a preoperative PET-CT scan could contribute to the de-escalation and reduction of lymphadenectomy in the surgical management of advanced EOC in a significant number of patients free of lymph node metastases.

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