Please use this identifier to cite or link to this item:
Type: Artigo de periódico
Title: [clinically Undetectable Lymph Node Invasion In Vulvar Cancer].
Author: Sarian, Luís Otávio Zanatta
Marshall, Priscila Silva
Derchain, Sophie Françoise Mauricette
Torres, José Carlos Campos
Santos, Adriana de Cassia Paiva
Souza, Gustavo Antônio de
Abstract: To assess the neoplastic invasion of superficial and deep inguinal lymph nodes of women with invasive vulvar squamous carcinoma smaller than 5 centimeters with a clinically normal inguinal region. the medical records of 59 women cared at the State University of Campinas with invasive vulvar squamous carcinoma T1 and T2 and who presented clinically normal inguinal regions (N0) were reviewed. Clinical characteristics of both tumor and patients were evaluated as well as the follow-up data. Odds ratios and Fisher's Exact Test were used to assess the correlations between the invasion of inguinal lymph nodes and tumor size, grade, relapses and clinical complications. Confidence limits of 95% were used. Age of the patients ranged from 34 to 91 years (mean 67 years), and follow-up time ranged from 3 days (peri-operatory death) to 252 months (mean 27 months). Clinically, 22 (37%) women had lesions T1 lesions and 37 (63%) T2. Histological analysis showed unilateral lymphatic invasion in six (10%) women and bilateral in three (5%). There was no significant association between tumor size and lymph node invasion. Also, pathologic tumor size and grade were not associated with lymph node neoplastic involvement. Relapses and late complications were not correlated with lymph node neoplastic invasion. Superficial and deep inguinal dissection disclosed clinically undetectable lymph node neoplastic invasion, although tumor size and histological grade, relapses and late complications were not associated with node involvement.
Subject: Adult
Aged, 80 And Over
Carcinoma, Squamous Cell
Follow-up Studies
Inguinal Canal
Lymph Node Excision
Lymph Nodes
Lymphatic Metastasis
Middle Aged
Neoplasm Staging
Odds Ratio
Vulvar Neoplasms
Rights: fechado
Identifier DOI: /S0104-42302005000400020
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

Files in This Item:
File SizeFormat 
pmed_16127584.pdf39.95 kBAdobe PDFView/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.