Topographic distribution of pelvic lymph node metastases in cervical cancer patients with FIGO stages IB1 to IIB (Cibula D, Abu-Rustum NR. Pelvic lymphadenectomy in cervical cancer--surgical anatomy and proposal for a new classification system. Gynecol Oncol. 2010 Jan;116(1):33-7).

摘要

We read with interest the article by Cibula and Abu-Rustum, "Pelvic lymphadenectomy in cervical cancer—surgical anatomy and proposal for a new classification system" [1]. The paper deals with an important topic in gynecologic oncologic surgery. The most frequent site of pelvic lymph node involvement in studies dealing with sentinel technique in CX were the obturator and external nodes, followed by the common iliac and internal iliac sites [2]. In a previous study we examined the frequency and topographic distribution of micrometastasis (defined as a metastatic deposit within the pelvic lymph nodes constituting <0.2 cm in largest dimension; [3]); 22.2% of the node positive patients represented micrometastatic disease. Their most frequent sites were the external iliac and obturator localization, followed by the common iliac nodes.