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Journal articles on the topic 'Pelvic nodes'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Dargent, D., G. Lamblin, P. Romestaing, X. Montbarbon, P. Mathevet, and M. Benchaib. "Effect of radiotherapy on pelvic lymph node metastasis in cervical cancer stages IB2–IVA: a retrospective analysis of two comparative series." International Journal of Gynecologic Cancer 15, no. 3 (2005): 468–74. http://dx.doi.org/10.1136/ijgc-00009577-200505000-00009.

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Efficiency of radiotherapy in controlling lymph node metastasis is a controversial issue. A continuous series of 87 patients affected by cervical cancer stages IB2–IVA and treated using pelvic radiotherapy is presented. A retrospective comparison is made between two populations. In the two populations, a staging lymphadenectomy was carried out before the onset of the therapeutic program. In the first population (53 patients), the pelvic nodes only were dissected and in the second one (34 patients), the pelvic lymph nodes were left in place and the paraaortic nodes only were dissected. In both

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2

Hacker, N. F., G. V. Wain, and J. L. Nicklin. "Resection of bulky positive lymph nodes in patients with cervical carcinoma." International Journal of Gynecologic Cancer 5, no. 4 (1995): 250–56. http://dx.doi.org/10.1046/j.1525-1438.1995.05040250.x.

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From January 1987 to April 1992, 34 patients had resection of bulky positive lymph nodes, detected either at the time of radical hysterectomy (n= 23) or by computed tomographic (CT) scan of the pelvis and abdomen prior to radiation therapy for more advanced cervical cancer (n= 11). Following nodal resection, 33 patients received pelvic external beam radiation, 28 received pelvic and para-aortic radiation, and 23 received four cycles of cisplatin chemotherapy. The median number of resected positive nodes was 4, with a range of 1–44. All macroscopic nodal metastases could be resected in each pat

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3

Badgwell, B., Y. Xing, J. Gershenwald, et al. "Outcome analysis for melanoma patients undergoing deep pelvic lymph node dissection." Journal of Clinical Oncology 25, no. 18_suppl (2007): 8514. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.8514.

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8514 Background: The benefits of deep pelvic lymph node dissection (DLND) for node-positive melanoma patients continue to be debated. The objective of our analysis was to assess factors associated with metastatic disease to deep pelvic nodes and examine survival outcomes following DLND. Methods: We retrospectively reviewed the records of 804 patients undergoing lymph node dissection (1990-2001). 97 patients underwent a superficial inguinofemoral lymph node dissection along with a DLND for indications which included: suspicious radiologic imaging (n= 31), documented superficial disease and conc

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4

Pereira, A., Medina T. Pérez, JF Magrina, et al. "Correlation between the extent of intraperitoneal disease and nodal metastasis in node-positive ovarian cancer patients." Eur J Surg Oncol 40, no. 8 (2014): 917–24. https://doi.org/10.1016/j.ejso.2014.04.001.

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<strong>Aims: </strong>To investigate correlations between extent of disease (ED), frequency and location of nodal metastases in node-positive EOC patients. <strong>Methods: </strong>Data were collected from 116 consecutive patients who underwent systematic lymphadenectomy during primary surgery. Patients were grouped in ED1 (disease confined in pelvis), ED2 (disease extended to abdomen), and ED3 (distant metastases). Univariate and multivariate analysis were performed for overall survival and progression-free survival (PFS). <strong>Results: </strong>Correspondence analysis rev

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5

Puente, R., S. Guzman, E. Israel, and M. T. Poblete. "Do the pelvic lymph nodes predict the parametrial status in cervical cancer stages IB–IIA?" International Journal of Gynecologic Cancer 14, no. 5 (2004): 832–40. http://dx.doi.org/10.1136/ijgc-00009577-200409000-00014.

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The aim of this study was to determine whether the pelvic lymph nodes would predict the parametrial status in patients with cervical cancer stages IB1–IIA submitted to radical surgery and pelvic lymphadenectomy. To this end, we evaluated the relationship between positive and negative pelvic lymph nodes and their parametria. Our final purpose was to use this information to recommend the tailoring of the parametrial resection according to the status of pelvic lymph nodes to decrease the morbidity related with radical paratrectomy. From January 1996 to December 2001, 107 consecutive patients with

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6

MAZZOLENI, G., A. SALERNO, D. SANTINI, A. MARABINI, and G. MARTINELLI. "Leiomyomatosis in pelvic lymph nodes." Histopathology 21, no. 6 (1992): 588–89. http://dx.doi.org/10.1111/j.1365-2559.1992.tb00453.x.

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7

Laws, Kirsten Elizabeth Jean, Christina Wilson, and Stephen Harrow. "Pelvic side wall nodes in locally advanced rectal cancer as a prognostic indicator." Journal of Clinical Oncology 32, no. 3_suppl (2014): 613. http://dx.doi.org/10.1200/jco.2014.32.3_suppl.613.

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613 Background: Neoadjuvant long course chemoradiotherapy is a well recognised treatment in locally advanced rectal cancer. Patients with pelvic side wall nodes are often considered for neoadjuvant treatment. We investigated whether pelvic side wall nodes identified on pre-treatment imaging is a poor prognostic factor and whether there are different patterns of recurrence compared to patients without pelvic side wall node involvement. Methods: All patients treated with long course chemoradiotherapy between January 2008 and December 2009 were identified. Patients were excluded if treatment indi

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8

Gödde, Daniel, Stephan Degener, Christine Walles, et al. "Degenerative Changes in Aging Human Pelvic Lymph Nodes—A Reason to Rethink Staging and Therapy of Regional Malignancies?" Cancers 15, no. 19 (2023): 4754. http://dx.doi.org/10.3390/cancers15194754.

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Lymph node metastases are common in pelvic urological tumors, and the age-related remodeling process of the pelvic lymph nodes influences metastatic behavior. The aim of this work is to characterize age-related degenerative changes in the pelvic lymph nodes with respect to their occurrence and extent. A total of 5173 pelvic lymph nodes of 390 patients aged 44 to 79 years (median 68 years, IQR 62–71 years) were histologically examined for degenerative structural changes. Lymph node size, lipomatous atrophy, capsular fibrosis, framework fibrosis, and calcifications were recorded semi-quantitativ

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9

Harter, P., K. Gnauert, R. Hils, et al. "Pattern and clinical predictors of lymph node metastases in epithelial ovarian cancer." International Journal of Gynecologic Cancer 17, no. 6 (2007): 1238–44. http://dx.doi.org/10.1111/j.1525-1438.2007.00931.x.

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Para-aortic lymphadenectomy is part of staging in early epithelial ovarian cancer (EOC) and could be part of therapy in advanced EOC. However, only a minority of patients receive therapy according to guidelines or have attendance to a specialized unit. We analyzed pattern of lymphatic spread of EOC and evaluated if clinical factors and intraoperative findings reliably could predict lymph node involvement, in order to evaluate if patients could be identified in whom lymphadenectomy could be omitted and who should not be referred to a center with capacity of performing extensive gynecological op

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10

Thomas, G. M., A. J. Dembo, T. Myhr, B. Black, J. F. Pringle, and G. Rawlings. "Long-term results of concurrent radiation and chemotherapy for carcinoma of the cervix recurrent after surgery." International Journal of Gynecologic Cancer 3, no. 4 (1993): 193–98. http://dx.doi.org/10.1046/j.1525-1438.1993.03040193.x.

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Between 1981 and 1991, 41 patients with carcinoma of the cervix recurrent only in the pelvis, or pelvis and para-aortic nodes after initial surgery, were treated with concurrent chemo-radiation (CT-RT). The total dose of radiation was tailored to the disease extent. Radiation was delivered to the pelvis and/or pelvis plus para-aortic nodes. Concurrent infusional 5-fluorouracil 1.5 g m-2 day-1 was delivered with bid radiation for one to three courses of 3 or 4 days. In addition, 10 patients received one or two courses of intravenous mitomycin C (Mit C) 6 mg m−2. Twenty-three of 40 evaluable (58

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11

del Pino, Marta, Pere Fusté, Jaume Pahisa, et al. "Laparoscopic Lymphadenectomy in Advanced Cervical Cancer: Prognostic and Therapeutic Value." International Journal of Gynecologic Cancer 23, no. 9 (2013): 1675–83. http://dx.doi.org/10.1097/igc.0000000000000000.

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ObjectiveClinical benefit of surgical staging in locally advanced cervical cancer has not yet been proved. The goal of this study was to analyze the prognostic and therapeutic value of laparoscopic para-aortic lymphadenectomy with selective excision of suspicious pelvic nodes in patients with locally advanced cervical cancer.MethodsThis is a retrospective study including 109 women treated in a single institution from 2000 to 2009. The International Federation of Gynecology and Obstetrics stage was IB2 in 12 women, IIB in 58 women, and IIIB in 39 women. None had suspicious para-aortic nodes by

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12

Bader, Arnim A., Karl F. Tamussino, and Raimund Winter. "Ectopic (pelvic) kidney mimicking bulky lymph nodes at pelvic lymphadenectomy." Gynecologic Oncology 96, no. 3 (2005): 873–75. http://dx.doi.org/10.1016/j.ygyno.2004.11.049.

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13

Spannuth, Whitney A., Charles A. Leath, Michael G. Conner, and Ronald D. Alvarez. "Inflammatory Pseudotumor of Pelvic Lymph Nodes." Obstetrics & Gynecology 108, Supplement (2006): 779–82. http://dx.doi.org/10.1097/01.aog.0000201973.13715.ee.

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14

Simpson, Emma L., Beverly G. Coleman, Peter H. Arger, and Marshall C. Mintz. "Hyperdense pelvic and inguinal lymph nodes." Journal of Computed Tomography 12, no. 1 (1988): 45–48. http://dx.doi.org/10.1016/0149-936x(88)90029-x.

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15

Fuerst, Donald E. "Laparoscopic examination of pelvic lymph nodes." Urology 26, no. 5 (1985): 482–83. http://dx.doi.org/10.1016/0090-4295(85)90159-1.

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16

Siatecka, H., and R. Masand. "Unusual Case of Uterine Intravascular Leiomyomatosis with Lymphatic Spread to Pelvic Lymph Nodes." American Journal of Clinical Pathology 156, Supplement_1 (2021): S74. http://dx.doi.org/10.1093/ajcp/aqab191.155.

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Abstract Introduction/Objective Intravascular leiomyomatosis, also known as intravenous leiomyomatosis, is characterized by presence of smooth muscle within venous spaces in the myometrium, usually in conjunction with a leiomyoma. Although presence of tumor within lymphatics in addition to veins are alluded to in literature, exclusively lymphatic spread with lymph node metastases have not been previously reported. Methods/Case Report A 50-year-old woman presented with left flank pain. CT pelvis showed an enlarged uterus with multiple large leiomyomata as well as pelvic lymph node enlargement.

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17

Frumovitz, Michael, Pedro T. Ramirez, Homer A. Macapinlac, et al. "Anatomic Location of PET-Positive Aortocaval Nodes in Patients with Locally Advanced Cervical Cancer: Implications for Surgical Staging." International Journal of Gynecologic Cancer 22, no. 7 (2012): 1203–7. http://dx.doi.org/10.1097/igc.0b013e31825e523a.

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ObjectivePathologic evaluation of aortocaval nodes in patients with locally advanced cervical cancer in an effort to better tailor radiotherapy has gained popularity. We sought to determine which aortocaval nodes should be sampled during surgical staging procedures.MethodsFrom 2004 to 2011, 246 patients with locally advanced cervical cancer underwent positron emission tomography (PET) before definitive chemoradiation. We reviewed the imaging studies to determine the location of PET-positive aortocaval nodes in relationship to the inferior mesenteric artery (IMA).ResultsForty-two patients (17%)

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Supiot, Stephane, Gilles Crehange, Xavier Buthaud, et al. "OLIGOPELVIS – GETUG P07, a multicentre phase II trial of combined salvage radiotherapy and hormone therapy in oligometastatic pelvic node relapses of prostate cancer: Preplanned analysis of acute toxicity." Journal of Clinical Oncology 34, no. 2_suppl (2016): 173. http://dx.doi.org/10.1200/jco.2016.34.2_suppl.173.

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173 Background: We explored the role of salvage pelvic radiotherapy combined with LH-RH agonists in pelvic oligometastatic patients (pts) detected by 18F-choline positron-emission tomography (FCH-PET) imaging in biochemically relapsing prostate cancer patients following radical therapy. We report a preplanned analysis of acute toxicity and quality of life after the first 20 pts. Methods: Biochemically relapsing prostate cancer pts with 1-5 FCH-PET positive oligometastatic pelvic lymph nodes received high-dose image-guided intensity-modulated radiation therapy (RT: pelvic lymph nodes 54 Gy, 30

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19

Diomidova, V. N., and O. A. Еfimova. "Modern Radiodiagnostics Technology of Metastasises in Pelvic Lymph Nodes." Medical Visualization, no. 6 (December 28, 2017): 100–108. http://dx.doi.org/10.24835/1607-0763-2017-6-100-108.

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The analysis of the diagnostic informativeness of modern radiodiagnosticis methods in determining metastatic lymph node of pelvic cancer gynecological organs according to domestic and foreign publications. At the present stage methods of obtaining visual images pelvic lymph nodes are radiodiagnostics technologies (radiological, ultrasound, magnetic resonance tomography, scintigraphic). The analysis has shown that the researches devoted to diagnostic informational content of modern methods of radiodiagnosis in a differentiation of nature of damage of pelvic lymph nodes aren't enough. According

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20

Togami, Shinichi, Takashi Ushiwaka, Mika Fukuda, et al. "Comparison of radio-isotope method with 99m technetium and near-infrared fluorescent imaging with indocyanine green for sentinel lymph node detection in endometrial cancer." Japanese Journal of Clinical Oncology 52, no. 1 (2021): 24–28. http://dx.doi.org/10.1093/jjco/hyab172.

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Abstract Background We aimed to compare the detection rate of pelvic sentinel lymph node between the radio-isotope with 99m technetium (99mTc)-labeled phytate and near-infrared fluorescent imaging with indocyanine green in patients with endometrial cancer. Methods This study included 122 patients who had undergone sentinel lymph node mapping using 99mTc and indocyanine green. In the radio-isotope method, sentinel lymph nodes were detected using uterine cervix 99mTc injections the day before surgery. Following injection, the number and locations of the sentinel lymph nodes were evaluated by lym

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21

Luomaranta, Anna, Jouko Lohi, Ralf Bützow, Arto Leminen, and Mikko Loukovaara. "Prediction of Para-aortic Spread by Gross Pelvic Lymph Node Findings in Patients With Endometrial Carcinoma." International Journal of Gynecologic Cancer 24, no. 4 (2014): 697–702. http://dx.doi.org/10.1097/igc.0000000000000113.

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ObjectiveIsolated para-aortic lymph node metastases are rare in patients with endometrial carcinoma. We wanted to determine the reliability of macroscopic pelvic lymph node findings at surgery in predicting para-aortic space involvement in these patients.MethodsWe identified all women with surgically treated endometrial carcinoma at our institution between January 2008 and February 2013 (n = 854). One hundred seventeen patients received pelvic-aortic lymphadenectomy. Lymph nodes were considered grossly positive based on size and morphology.ResultsIn patients who underwent comprehensive lymphad

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22

Toita, T., Y. Nagai, W. Tamaki, et al. "Pelvic node control in patients with locally advanced uterine cervical cancer treated with concurrent chemoradiotherapy." Journal of Clinical Oncology 25, no. 18_suppl (2007): 16018. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.16018.

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16018 Background: To evaluate pelvic node control in cervical cancer patients treated with concurrent chemoradiotherapy (CCRT) without surgical resection. Methods: Ninety-six patients (stage IB2, 3; IIA, 2; IIB, 49; IIIA, 1; IIIB, 40; IVA, 1) with uterine cervical squamous cell carcinoma treated with CCRT were analyzed. Cervical tumor diameter and pelvic node status were assessed by MRI. The median maximum tumor diameter was 58 mm (range, 36–86 mm). Thirty-four patients had positive pelvic nodes (= 10 mm in shortest diameter). The largest diameter of the positive nodes ranged from 10–50 mm (me

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Sato, Genki Edward, Rihito Aizawa, Kiyonao Nakamura, et al. "Long-term clinical outcomes of salvage pelvic radiation therapy for oligo-recurrent pelvic lymph nodes after definitive external-beam radiation therapy for non-metastatic prostate cancer." Journal of Radiation Research 61, no. 4 (2020): 622–28. http://dx.doi.org/10.1093/jrr/rraa044.

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Abstract Although salvage external-beam radiation therapy (EBRT) is an attractive treatment option for pelvic lymph nodal recurrence (PeNR) in patients with prostate cancer (PCa), limited data are available regarding its long-term efficacy. This study examined the long-term clinical outcomes of patients who underwent salvage pelvic radiation therapy (sPRT) for oligo-recurrent pelvic lymph nodes after definitive EBRT for non-metastatic PCa. Patients who developed PeNR after definitive EBRT and were subsequently treated with sPRT at our institution between November 2007 and December 2015 were re

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Pereira, Augusto, Javier F. Magrina, Victoria Rey, Manuel Cortés, and Paul M. Magtibay. "Pelvic and aortic lymph node metastasis in epithelial ovarian cancer." Gynecol Oncol 105, no. 3 (2007): 604–8. https://doi.org/10.1016/j.ygyno.2007.01.028.

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<strong>Objective: </strong>The appropriate management of advanced ovarian cancer has been controversial in recent years. There are no adequate data about the importance of lymphadenectomy and the appropriate sites for lymph node assessment. We sought to evaluate the distribution, size, and number of pelvic and aortic lymph node metastases in patients with epithelial ovarian carcinoma. <strong>Methods: </strong>Retrospective chart review of 116 patients with stage IIIC or IV epithelial ovarian carcinoma treated at Mayo Clinic who underwent systematic bilateral pelvic and aortic lymph

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Suprasert, P., J. Srisomboon, K. Charoenkwan, et al. "Outcomes of abandoned radical hysterectomy in patients with stages IB–IIA cervical cancer found to have positive nodes during the operation." International Journal of Gynecologic Cancer 15, no. 3 (2005): 498–502. http://dx.doi.org/10.1136/ijgc-00009577-200505000-00014.

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The objective of this study was to evaluate the outcomes of stages IB–IIA cervical cancer patients whose radical hysterectomy (RH) was abandoned for positive pelvic nodes detected during the operation compared with those found to have positive nodes after the operation. Among 242 patients with planned RH and pelvic lymphadenectomy (RHPL) for stages IB–IIA cervical cancer, 23 (9.5%) had grossly positive nodes. RH was abandoned, and complete pelvic lymphadenectomy was performed. Of these 23 patients, 22 received adjuvant chemoradiation, and the remaining 1 received adjuvant radiation. Four patie

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Kostov, Stoyan, Yavor Kornovski, Stanislav Slavchev, et al. "Pelvic Lymphadenectomy in Gynecologic Oncology—Significance of Anatomical Variations." Diagnostics 11, no. 1 (2021): 89. http://dx.doi.org/10.3390/diagnostics11010089.

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Pelvic lymphadenectomy is a common surgical procedure in gynecologic oncology. Pelvic lymph node dissection is performed for all types of gynecological malignancies to evaluate the extent of a disease and facilitate further treatment planning. Most studies examine the lymphatic spread, the prognostic, and therapeutic significance of the lymph nodes. However, there are very few studies describing the possible surgical approaches and the anatomical variations. Moreover, a correlation between anatomical variations and lymphadenectomy in the pelvic region has never been discussed in medical litera

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Kostov, Stoyan, Yavor Kornovski, Stanislav Slavchev, et al. "Pelvic Lymphadenectomy in Gynecologic Oncology—Significance of Anatomical Variations." Diagnostics 11, no. 1 (2021): 89. http://dx.doi.org/10.3390/diagnostics11010089.

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Pelvic lymphadenectomy is a common surgical procedure in gynecologic oncology. Pelvic lymph node dissection is performed for all types of gynecological malignancies to evaluate the extent of a disease and facilitate further treatment planning. Most studies examine the lymphatic spread, the prognostic, and therapeutic significance of the lymph nodes. However, there are very few studies describing the possible surgical approaches and the anatomical variations. Moreover, a correlation between anatomical variations and lymphadenectomy in the pelvic region has never been discussed in medical litera

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Basta-Nikolic, Marijana, Dragan Nikolic, Sanja Stojanovic, Srdjan Djurdjevic, Olivera Nikolic, and Viktor Till. "Diffusion-weighted magnetic resonance imaging for evaluation of malignant lymph node invasion in patients with female genital neoplasms." Vojnosanitetski pregled, no. 00 (2020): 102. http://dx.doi.org/10.2298/vsp190726102b.

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Background / Aim: Functional imaging, including diffusion-weighted magnetic resonance imaging (DWI MRI) and ADC map, provides promising results in discrimination benign from malignant pelvic and inguinal lymph nodes in patients with gynecological malignancies. Aim of the study was to assess diagnostic performances of DWI in differentiation between benign and malignant pelvic and inguinal lymph nodes in patients with gynecological malignancies. Methods: The prospective clinical study was conducted at Clinical Center of Vojvodina from 2013 to 2016, comprising 80 patients with malignant gynecolog

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Gorodnova, Tatyana, Igor Berlev, Adiliya Urmancheeva, et al. "ROLE OF LYMPHADENECTOMY IN TREATMENT FOR EPITHELIAL OVARIAN CANCER." Problems in oncology 64, no. 1 (2018): 102–9. http://dx.doi.org/10.37469/0507-3758-2018-64-1-102-109.

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To study the role of retroperitoneal lymphadenectomy in epithelial ovarian cancer (OC) the work was divided into two parts. In the first part for a retrospective analysis 852 patients with stage I-IV OC, who were treated from January 2000 to January 2014, were selected to investigate the localization of the first relapse of the disease. In the second part, prospective from August 2016 to April 2017, in 28 patients with stage I-IV OC the surgical stage of the combined treatment was supplemented by iliac-pelvic and para-aortic lymphadenectomy; in this group the results of surgical staging were s

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Mirilas, Petros, and John E. Skandalakis. "Surgical Anatomy of the Retroperitoneal Spaces, Part III: Retroperitoneal Blood Vessels and Lymphatics." American Surgeon 76, no. 2 (2010): 139–44. http://dx.doi.org/10.1177/000313481007600203.

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In this article, we discuss the surgical anatomy of the blood vessels and the lymphatic vessels and lymph nodes found in the retroperitoneum. Retroperitoneal blood vessels include the aorta and all its branches—parietal and visceral—from the diaphragm to the pelvis, and the inferior vena cava and its tributaries. The retroperitoneal lymphatics form a very rich and extensive chain. As a general rule, lymphatics follow the arteries and named lymph nodes are found at the root of the arteries. Retroperitoneal nodes of the abdomen comprise the inferior diaphragmatic nodes and the lumbar nodes. The

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Kim, John Y., and Mukesh G. Harisinghani. "MR imaging staging of pelvic lymph nodes." Magnetic Resonance Imaging Clinics of North America 12, no. 3 (2004): 581–86. http://dx.doi.org/10.1016/j.mric.2004.03.001.

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Fornalik, Hubert, and Nicole Fornalik. "Robotic debulking of confluent pelvic lymph nodes." International Journal of Gynecologic Cancer 30, no. 1 (2020): 156. http://dx.doi.org/10.1136/ijgc-2019-000948.

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Lara V, Ernesto, Franco Calderaro di Ruggiero,, Marko Rezic S, and Johatson Freytez. "Metástasis aislada en ganglios paraaórticos en adenocarcinoma de endometrio. Reporte de un caso." Revista de Obstetricia y Ginecología de Venezuela 82, no. 01 (2022): 123–28. http://dx.doi.org/10.51288/00820115.

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The presence of metastases in para-aortic nodes is one of the most important prognostic factors for endometrial cancer, and it may be the only site of metastatic disease, the probability of which in the absence of metastases in pelvic nodes is remote. We describe a case of a 69-year-old patient who consulted for postmenopausal bleeding of 3 months of evolution with a result of an endometrial biopsy that reported moderately differentiated endometrioid adenocarcinoma. After carrying out extension studies, she was taken to staging surgery plus resection of the para-aortic lymph node plastron; wit

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Perumareddy, Vaishnavi, Rashmi Shivananjappa, S. N. Geeta, and Richa Tiwari. "Indian data on response of positive pelvic lymph nodes in carcinoma cervix patients treated with simultaneous integrated boost using volumetric modulated arc radiation therapy." Asian Journal of Oncology 9 (July 18, 2023): 9. http://dx.doi.org/10.25259/asjo-2022-26-(370).

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Objectives The percentage of pelvic lymph node positivity in cervical cancer patients varies from 19% in early stages to 68% in advanced cases. Thirty three percent of patients will develop recurrence within 2 years following therapy and 5-year relative survival for patients with affected regional lymph nodes is 57%. Hence, pelvic lymph nodes need to be included in the definitive plan of radiation treatment for better disease control and longer survival. With conventional radiation therapy, dose escalation was not possible because of small bowel constraints. With higher conformity of intensity

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Ghosh, Tanmoy, and Joydeep Basu. "A study to evaluate the adequacy of pelvic lymph node coverage in carcinoma cervix patients in Indian population by conventional four field box technique using computerized tomography simulation based pelvic lymph node contouring." International Journal of Research in Medical Sciences 8, no. 4 (2020): 1491. http://dx.doi.org/10.18203/2320-6012.ijrms20201348.

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Background: Traditionally pelvic External Beam Radiotherapy is delivered with four field box technique in carcinoma cervix patients. The primary aim of this prospective observational study is to determine the adequacy of pelvic lymph nodal coverage by conventional Four Field Box Technique with the help of pelvic lymph node contouring by CT simulation.Methods: Between January 2013 and August 2015 sixty patients with biopsy proven Carcinoma Cervix were enrolled in this study. Of these fifty-three patients were available for final analysis. CT simulation based Pelvic lymph node contouring was don

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Santoro, Angela, Giuseppe Angelico, Frediano Inzani, et al. "Standard ultrastaging compared to one-step nucleic acid amplification (OSNA) for the detection of sentinel lymph node metastases in early stage cervical cancer." International Journal of Gynecologic Cancer 30, no. 12 (2020): 1871–77. http://dx.doi.org/10.1136/ijgc-2020-001710.

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ObjectiveWe compared ultrastaging and one-step nucleic acid amplification (OSNA) examination of sentinel lymph nodes in two homogeneous patient populations diagnosed with early stage cervical cancer. The primary aim of our study was to evaluate the rate and type of sentinel lymph node metastases detected by ultrastaging and OSNA assay. Secondary aims were to define the sensitivity and the negative predictive value of sentinel lymph node biopsy assessed with OSNA and ultrastaging and to define the role of sentinel lymph node assessment in predicting non-sentinel lymph node status.MethodsConsecu

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Yoshimoto, Yuya, Kazutoshi Murata, Daisuke Irie, et al. "A retrospective study of small-pelvis radiotherapy plus image-guided brachytherapy in stage I–II non-bulky cervical squamous cell carcinoma." Journal of Radiation Research 63, no. 2 (2022): 290–95. http://dx.doi.org/10.1093/jrr/rrac001.

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Abstract We herein report a retrospective analysis of the efficacy of a combination therapy of pelvic irradiation that excluded the common iliac lymph nodes region and image-guided brachytherapy (IGBT) for non-bulky (≤4 cm) cervical cancer. Thirty-three patients with stage I–II cervical squamous cell carcinoma (≤4 cm) and without pelvic/para-aortic lymphadenopathy who were treated with definitive radiotherapy alone between February 2009 and September 2016 were included. The radiotherapy consisted of CT-based small-pelvis irradiation (whole pelvis minus common iliac lymph node area) of 20 Gy/10

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Pereira, A., N. Irishina, Medina T. Pérez, et al. "Defining the optimal lymphadenectomy cut-off value in epithelial ovarian cancer staging surgery utilizing a mathematical model of validation." Eur J Surg Oncol 39, no. 3 (2013): 290–96. https://doi.org/10.1016/j.ejso.2012.12.006.

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<strong>Objective: </strong>Since 1985 International Federation of Gynecology and Obstetrics includes pelvic and aortic lymphadenectomy as part of the surgical staging in epithelial ovarian cancer (EOC). There is no consensus on the overall number of nodes needed in a systematic lymphadenectomy. The aim of this study is to calculate the optimal cut-off value using a mathematical modeling approach. <strong>Methods: </strong>Data was collected retrospectively, from 1996 to 2000, of 120 consecutive Mayo Clinic patients with EOC and positive nodes. All patients was underwent pelvic and/o

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Fruhauf, Filip, David Cibula, Roman Kocian, et al. "Diagnostic performance of ultrasonography in pre-operative assessment of lymph nodes in patients with cervical cancer." International Journal of Gynecologic Cancer 34, no. 7 (2024): 985–92. http://dx.doi.org/10.1136/ijgc-2024-005341.

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ObjectivesTo assess the diagnostic performance of ultrasonography in pre-operative assessment of lymph nodes in patients with cervical cancer, to compare the outcomes for pelvic and para-aortic regions, and to detect macrometastases and micrometastases separately.MethodsPatients were retrospectively included if they met the following inclusion criteria: pathologically verified cervical cancer; ultrasonography performed by one of four experienced sonographers; surgical lymph node staging, at least in the pelvic region—sentinel lymph node biopsy or systematic pelvic lymphadenectomy or debulking.

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O’Shea, Aileen, Aoife Kilcoyne, Sandeep S. Hedgire, and Mukesh G. Harisinghani. "Pelvic lymph nodes and pathways of disease spread in male pelvic malignancies." Abdominal Radiology 45, no. 7 (2019): 2198–212. http://dx.doi.org/10.1007/s00261-019-02285-9.

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Song, Dong Eun, Andrea G. Kahn, Shin Kwang Khang, and Jae Y. Ro. "Pseudofungi in Pericolic Lymph Nodes." Archives of Pathology & Laboratory Medicine 129, no. 4 (2005): e97-e100. http://dx.doi.org/10.5858/2005-129-e97-pipln.

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Abstract We report a case of extensive pseudofungi in the pericolic lymph nodes. A 45-year-old man presented with lower abdominal discomfort, and large solid and cystic masses were discovered in the pelvic cavity by computed tomography. Debulking of the masses (by means of a Hartmann operation) was performed under the clinical impression of a pelvic sarcoma, and histologically the masses demonstrated features of a malignant gastrointestinal stromal tumor. All pericolic lymph nodes demonstrated multiple septate hyphae–like structures with pigmentation, particularly in the subcapsular sinuses. T

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Tamura, Daisuke, Daichi Maeda, Yukihiro Terada, and Akiteru Goto. "Distribution of Tattoo Pigment in Lymph Nodes Dissected for Gynecological Malignancy." International Journal of Surgical Pathology 27, no. 7 (2019): 773–77. http://dx.doi.org/10.1177/1066896919846395.

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Tattoo pigment migrates to regional lymph nodes, often causing acute or chronic lymphadenopathy. Past reports on tattoo lymphadenopathy are almost exclusively from Western countries. However, systemic distribution of tattoo pigment in lymph nodes has not been assessed in detail. In this article, we report a Japanese case of cervical adenocarcinoma, in which we successfully assessed the distribution of tattoo pigment deposition in pelvic and para-aortic lymph nodes. A 61-year-old woman with Japanese-style tattoos on both arms and her left thigh visited another clinic with postcoital bleeding. S

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Gezer, Şener, Seda Duman Öztürk, Turkay Hekimsoy, et al. "Cervical versus endometrial injection for sentinel lymph node detection in endometrial cancer: a randomized clinical trial." International Journal of Gynecologic Cancer 30, no. 3 (2020): 325–31. http://dx.doi.org/10.1136/ijgc-2019-000860.

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ObjectiveTo evaluate the relationship between pelvic/para-aortic sentinel lymph node status and two different injection sites of 99m-technetium (99mTc)-labeled phytate in patients with endometrial cancer.MethodsThis was a randomized controlled trial involving 81 patients with endometrial cancer. In the cervical group (n=40), injections of 99mTc were performed at the 3 and 9 o’clock positions of the uterine cervix. In the endometrial group (n=41), 99mTc was injected into the fundal endometrium using a transcervical catheter. Sentinel lymph nodes were detected through pre-operative lymphoscintig

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Shetty, Archana, Nirupama Murali, TR Supriya, Hima Sree Edupuganti, and Mukunda Krishnamurthy. "Not All Glandular Structures in Lymph Nodes Draining Ovarian Neoplasms Equate to Metastasis: Epiphany Taught by Endosalpingiosis!" Medical Journal of Dr. D.Y. Patil Vidyapeeth 17, no. 4 (2024): 875–77. http://dx.doi.org/10.4103/mjdrdypu.mjdrdypu_558_23.

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ABSTRACT Endosalpingiosis is characterized by the presence of the ectopic tubal epithelium and is known to occur in pelvic organs, peritoneum, urinary bladder, and retroperitoneal nodes. Occurrence in pelvic lymph nodes must be differentiated from metastasis. We present a case of 30-year-old female who underwent staging laparotomy for suspected bilateral ovarian cancer. Histopathology revealed bilateral borderline serous tumor with two pelvic nodes having benign glandular structures of fallopian tubal morphology. WTI was positive in ovarian tumor and nodal structures but with pattern differenc

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Kaler, Kamaljot Singh, Tadeusz Jozef Kroczak, Premal Patel, Rebekah Rittberg, Jeffery Walter Saranchuk, and Darrel E. Drachenberg. "Incidence, distribution, and outcomes of node positive patients at radical prostatectomy: Manitoba Prostate Center experience." Journal of Clinical Oncology 32, no. 4_suppl (2014): 162. http://dx.doi.org/10.1200/jco.2014.32.4_suppl.162.

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162 Background: Pelvic lymph node dissection at the time of radical retropubic prostatectomy (RRP) varies among surgeons and institutions. Differences focus on candidacy for node dissection and the limit of dissection. Standard lymph node dissection is typically above the obturator nerve to external iliac vessels. We analyzed our local experience of lymph node metastases at time of surgery. Methods: Data from the Manitoba Prostate Center were collected on consective patients undergoing RRP from January 2003 to June 2013 by two urologists with subspecialty training in oncology. Information extr

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Aboelatta, Ibrahim H., Soliman A. El-Shakhs, Abd Elmieniem F. Mohammed, and Mohammed H. Milegy. "Role of pelvic lymphadenectomy in rectal cancer." International Surgery Journal 6, no. 6 (2019): 1838. http://dx.doi.org/10.18203/2349-2902.isj20192150.

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Background: Rectal cancer constitutes about one third of all colorectal cancer cases. Total mesorectal excision has become the gold standard in rectal cancer treatment. However total mesorectal excision does not involve any approaches for lateral pelvic lymph nodes (LPLN), which may be asource of local recurrences. Tumor containing LPLN were reported to be found in about 10%-20% of the rectal cancer patients. In japan lateral pelvic lymph node metastasis is accepted to be curable with excision.Methods: This study included 20 patients presented to Menofia Hospital for elective colorectal re sec

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Taşkin, Salih, Duygu Altin, Yavuz Emre Şükür, and Firat Ortaç. "Extrapelvic Sentinel Lymph Nodes in Endometrial Cancer Patients With Unmapped Pelvic Side: A Brief Report." International Journal of Gynecologic Cancer 28, no. 4 (2018): 700–703. http://dx.doi.org/10.1097/igc.0000000000001224.

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ObjectiveThe aim of the study was to evaluate extrapelvic sentinel lymph nodes (SLNs) in clinical early-stage endometrial cancer patients with unmapped pelvic side(s) during fluorescent imaging-based sentinel mapping.Materials and MethodsEligible patients underwent sentinel mapping using cervical injection of indocyanine green and near-infrared florescent imaging compatible endoscopic systems. Pelvic SLNs were identified and resected. If bilateral mapping was not achieved, upper lymph nodes areas including presacral, upper common iliac, and para-aortic caval regions were explored for any SLN.

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Unger, J. B., D. L. Lilien, G. Caldito, J. J. Ivy, A. Charrier, and B. Bellaire. "The prognostic value of pretreatment 2-(18F)-fluoro-2-deoxy-D-glucose positron emission tomography scan in women with cervical cancer." International Journal of Gynecologic Cancer 17, no. 5 (2007): 1062–67. http://dx.doi.org/10.1111/j.1525-1438.2007.00902.x.

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There is substantial risk that prognosis determined with routine clinical staging for cervical cancer may be inaccurate. This is primarily due to understaging due to the lack of detection of nodal disease. This is particularly true for para-aortic nodal metastases. Treatment based on such staging may also be inadequate for the same reason. Positron emission tomography (PET) has been demonstrated to be useful in the staging of cervical cancer and superior to either computed tomography or magnetic resonance imaging in the detection of nodal disease. Our objective was to determine the prognostic

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Cragun, Janiel M., Laura J. Havrilesky, Brian Calingaert, et al. "Retrospective Analysis of Selective Lymphadenectomy in Apparent Early-Stage Endometrial Cancer." Journal of Clinical Oncology 23, no. 16 (2005): 3668–75. http://dx.doi.org/10.1200/jco.2005.04.144.

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Purpose Selective lymphadenectomy is widely accepted in the management of endometrial cancer. Purported benefits are individualization of adjuvant therapy based on extent of disease and resection of occult metastases. Our goal was to assess effects of the extent of selective lymphadenectomy on outcomes in women with apparent stage I endometrial cancer at laparotomy. Patients and Methods Patients with endometrial cancer who received primary surgical treatment between 1973 and 2002 were identified through an institutional tumor registry. Inclusion criteria were clinical stage I/IIA disease and p

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Ando, Hiroka, Minori Ogawa, Yuko Watanabe, et al. "Lymphangioleiomyoma of the Uterus and Pelvic Lymph Nodes." International Journal of Gynecological Pathology 39, no. 3 (2020): 227–32. http://dx.doi.org/10.1097/pgp.0000000000000589.

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