J Gynecol Oncol.  2014 Oct;25(4):279-281. 10.3802/jgo.2014.25.4.279.

Role of lymphadenectomy for ovarian cancer

• Mikami M

• KMID: 2130114
• DOI: http://doi.org/10.3802/jgo.2014.25.4.279

Abstract

Japan Society of Gynecologic Oncology (JSGO) recently revised its Ovarian Cancer Treatment Guidelines and the 4th edition will be released next year. This Guidelines state that lymphadenectomy is essential to allow accurate assessment of the clinical stage in early ovarian cancer, but there is no randomized controlled trial that shows any therapeutic efficacy of lymphadenectomy. In patients with advanced stage tumors, lymphadenectomy should be considered if optimal debulking has been performed. I fully agree with this recommendation of the JSGO and I would like to discuss the role of lymphadenectomy in the management of ovarian cancer.

Keyword

Lymphadenectomy; Ovarian cancer

MeSH Terms

Cytoreduction Surgical Procedures/methods
Female
Humans
Lymph Node Excision/*methods
Lymphatic Metastasis
Neoplasm Staging
Ovarian Neoplasms/*pathology/therapy
Practice Guidelines as Topic

Figure

• 

  Fig. 1 Overall survival of patients with FIGO stage III-IV with residual tumor <1 cm according to the performance of lymphadenectomy.

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