4 Lenfadenektomi Pelvik lenfadenektomi Lewis & Stallworthy – Pelvik ve Paraaortik lenfadenektomi Gynecologic Oncology Group
5 LNM’ının varlığını tesbit etmede - inspeksiyon / palpasyon - ultrasound, CT / MRI- inspeksiyon / palpasyon-şüpheli veya büyümüş LN örnekleme- invazyon derinliği ve gradeyeterli değil
6 * The size and shape of LNs do not correlate with the presence of LNMs - only 10 % of the metastatic LNs are enlargedWu et al. 1984, Petru et al. 1994* More the 50 % of the pelvic nodes are < 1 cm in size (endometrial cancer)Girardi 1993, Benedetti 1998
7 EndomETRİUM Ca Lenfadenektomİ Metastatik LN’nın %37’si ≤ 2mmLN metastazı olmayan olgularda survival daha iyidirStage I’den stage IIIC geçiş %31.5Sampling ile;PLN metastazlarının %62’i,PALN metastazlarının %17’i atlanırGirardi F, Gynecol Oncol, 1993; Ayhan A, EJGO, 2005; Ben-Shachar I,Obstet&Gynecol, 2005; ACOG Practice Bulletin, 2005
25 The paraaortic lymph nodes are part of the lumbar lymph node group. There are three subgroups: preaortic, retroaortic, and lateral aortic (right and left).The preaortic group drains the abdominal part of the gastrointestinal tract down to the mid-rectum, whereas the retroaortic group has no special area of drainage.The lateral group receives the lymphatic drainage from the iliaclymph nodes, ovaries, and other pelvic viscera (apart from the alimentary tract), and therefore it is this group of nodes that is sampled in the surgical staging of gynecologic malignancies.
26 The lateral aortic group receives the lymphatic drainage from the iliac lymph nodes, ovaries, and other pelvic viscera (apart from the alimentary tract), and therefore it is this group of nodes that is sampled in the surgical staging of gynecologic malignancies.
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