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European Journal of Gynaecological Oncology  2019, Vol. 40 Issue (6): 982-987    DOI: 10.12892/ejgo4724.2019
Original Research Previous articles | Next articles
Extraperitoneal pelvic lymph node dissection with laparotomy in occult invasive cervical cancer found after a simple hysterectomy
H.Ç. Özcan1, *(), Ö. Balat1, M.G. Uğur1, S. Sucu1, N.B. Tepe1, Ö.K. Karusercï1, Z. Bozdağ2
1Department of Obstetrics and Gynecology, School of Medicine, Gaziantep University, Gaziantep, Turkey
2Department of Pathology, School of Medicine, Gaziantep University, Gaziantep, Turkey
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Abstract  

Purpose of Investigation: To evaluate the authors’ experience and clinical outcomes of extraperitoneal pelvic lymph node dissection (EPLND) and subsequent radiotherapy with concomitant chemotherapy in 21 patients with invasive cervical cancer found in simple hysterectomy. Materials and Methods: The authors reviewed the data of patients with occult invasive cervical cancer (OICC) detected after simple hysterectomy carried out for benign gynecologic conditions or preinvasive cervical lesions from 2007 to 2017. Results: All patients were classified into three groups as low risk, high risk, and specially selected according to pathological reports and imaging methods. All patients were staged IA1 to 2B and all pathological reports revealed squamous cell carcinoma. There were 6, 13, and 2 patients in the high-risk group, low-risk group, and specially selected group; respectively. During a median follow-up of 39 months, patients did not show any recurrence. All adjuvant chemoradiation therapy was initiated at three weeks postoperatively without delay. There were two postoperative complications. The mean operation time regarding extraperitoneal lymph node dissection (ELND) was 33.66 ± 5.36 minutes and median postoperative hospital stay was two days. Conclusions: Optimal treatment plan can be made after pathological examination and interpretation of imaging methods in patients with OICC after simple hysterectomy (SH). EPLND may be considered as a safe and reliable first-line surgical option in the management of patients with OICC after SH.

Key words:  Extraperitoneal pelvic lymph node dissection      Occult invasive cervical cancer      Simple hysterectomy      Adjuvant treatment      Laparotomy     
Published:  10 December 2019     
*Corresponding Author(s):  H.Ç. ÖZCAN     E-mail:  ozcan.caglayan8@hotmail.com

Cite this article: 

H.Ç. Özcan, Ö. Balat, M.G. Uğur, S. Sucu, N.B. Tepe, Ö.K. Karusercï, Z. Bozdağ. Extraperitoneal pelvic lymph node dissection with laparotomy in occult invasive cervical cancer found after a simple hysterectomy. European Journal of Gynaecological Oncology, 2019, 40(6): 982-987.

URL: 

https://ejgo.imrpress.com/EN/10.12892/ejgo4724.2019     OR     https://ejgo.imrpress.com/EN/Y2019/V40/I6/982

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