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Topic: Lymphadenectomy

	Lymph node removal (lymphadenectomy) for melanoma - Quest Diagnostics Patient Health Library (Site not responding. Last check: 2007-10-22)
		Lymphadenectomy is surgery to remove cancerous lymph nodes.
		Lymphadenectomy is done to cure melanoma that has spread only to the lymph nodes and to prevent melanoma from spreading farther (metastasizing).
		Lymphadenectomy may be done for stage II or III melanoma to remove lymph nodes that have melanoma in them.
	www.questdiagnostics.com /kbase/topic/detail/surgical/hw206392/detail.htm (368 words)

	Lymphadenectomy - Definition, Purpose, Demographics, Description, Diagnosis/Preparation, Aftercare, Risks, Normal ...
		Lymphadenectomy, also called lymph node dissection, is a surgical procedure in which lymph glands are removed from the body and examined for the presence of cancerous cells.
		Lymphadenectomy may also be pursued as a cancer treatment to help prevent further spread of abnormal cells.
		Lymphadenectomy is usually performed in a hospital operating room by a surgical oncologist, a medical doctor who specializes in the surgical diagnosis and treatment of cancers.
	www.surgeryencyclopedia.com /La-Pa/Lymphadenectomy.html (1456 words)

	Endoscopic lymphadenectomy
		The indications for laparoscopic pelvic lymphadenectomy are lymphatic exploration of pelvic cancers: cervical and endometrial cancer and laparoscopic preparation of extended radical vaginal hysterectomy (Shauta-Dargent technique).
		Common iliac lymphadenectomy is indicated in cases where the interiliac lymph chain has been invaded or to analyse the common iliac nodes.
		She indications for peri-aortic lymphadenectomy are cervical, endometrial or other pelvic cancer where there is suspicion of CT scan of lymph node invasion with negative cytology or "tru-cut" probe biopsy.
	www.gfmer.ch /Books/Endoscopy_book/Ch17_lymph_endo.html (4176 words)

	GCIG
		The trial was designed to assess the effect of lymphadenectomy and adjuvant external beam radiation therapy in the treatment of endometrial cancer.
		The study randomized patients to conventional surgery or conventional surgery plus lymphadenectomy, which consisted of dissection of the iliac and obturator nodes.
		The study recruited 1,408 women between 1998 and 2005, with a final enrollment of 673 in the lymphadenectomy group and 700 in the conventional-surgery group.
	ctep.cancer.gov /resources/gcig/news032706d.html (427 words)

	TransMed: Breast Diseases - Physician Guidelines - Sentinel Node Sampling
		One of the positive aspects of a sentinel lymphadenectomy is that it will eventually eliminate most of the morbidity associated with standard axillary dissection.
		Finally, it should be stressed that standard axillary lymphadenectomy remains the standard of care for staging patients with Stage I, II and III breast carcinoma.
		Performing a sentinel lymphadenectomy for patients requiring appropriate staging with an axillary dissection will decrease the morbidity of the procedure and will truly make this procedure a minimally invasive lymphadenectomy staging procedure.
	www.breastdiseases.com /sentno.htm (1288 words)

	CancerNetwork: (Site not responding. Last check: 2007-10-22)
		Sentinel lymphadenectomy is a minimally invasive staging procedure for patients with breast cancer.
		Sentinel lymphadenectomy, when performed in conjunction with axillary dissection, enhances staging accuracy by identifying occult deposits of microscopic disease that are undetected by routine histological examination of the standard axillary dissection specimen.
		In addition, sentinel lymphadenectomy may be unreliable for patients with multifocal malignancies, for those patients with a history of previous chemotherapy or radiation therapy for breast cancer, and for patients with histories of either extensive prior breast or axillary surgery.
	www.cancernetwork.com /journals/oncology/o0104m.htm (722 words)

	isgeonco2
		Routine aortic lymphadenectomy cannot be justified in early stage endometrial and cervical carcinoma.
		The findings showed that although pelvic lymphadenectomy could be justified in all cases of endometrial carcinoma except grade I disease confined to uterus, aortic lymphadenectomy could only be justified in women who had deep myometrial invasion.
		Using this criterion, 22% of women would be subjected to aortic lymphadenectomy, 71% of aortic lymph node metastases would be identified, 6 aortic lymphadenectomies performed to detect one case of positive aortic nodes, and 14 aortic lymphadenectomies to cure one patient with aortic lymph node metastases (assuming a 40% cure rate).
	www.isge.org /laponco/page28.html (382 words)

	Lymphadenectomy for endometrial cancer
		A lymphadenectomy, also called lymph node dissection, may be done to examine certain lymph nodes for endometrial cancer cells.
		As part of a hysterectomy if cancer has invaded the deep part of the muscle, the cancer is of higher grade, or your doctor suspects that cancer may spread to other parts of the body.
		Lymphadenectomy often is not done if earlier tests indicate that low-grade cancer is in a very early stage.
	www.webmd.com /cancer/Lymphadenectomy-for-endometrial-cancer (522 words)

	Early Gastric Cancer: Minimized scope of lymphadenectomy.
		The clinical effects of prophylactic lymphadenectomy might be explained, however, by the recent, improved understanding of micrometastasis including 1) metastasis limited to the perinodal sinus, 2) the correlation between lymphatic involvement and lymph node metastases and 3) the occurrence of skip metastases, which has reportedly occurred in 7% of EGC cases.
		They concluded that D2 lymphadenectomy in patients with early GC had little survival benefit because (1) metastasis to level 2 nodes was rare, (2) most causes of death were not related to the tumor, and (3) more than half the recurrences were hematogenous.
		However, when lymphatic vessel invasion is observed pathologically after local resection without lymphadenectomy, strict follow-up with a short interval or a second surgery with D2 lymphadenectomy should be required because of the high risk of lymph node recurrence (11).
	www.geocities.com /surgoncnet/early1.htm (2363 words)

	Lymphadenectomy Does Not Improve Survival in Advanced Ovarian Cancer
		Women in this study were randomly allocated to have aortic and pelvic lymphadenectomy following maximal surgical debulking or surgical debulking alone.
		Comments: This study shows that lymphadenectomy should not be part of the routine treatment of women with advanced ovarian cancer.
		Systematic aortic and pelvic lymphadenectomy versus resection of bulky dones only in optimally debulked advanced ovarian cancer: a randomized clinical trial.
	professional.cancerconsultants.com /oncology_main_news.aspx?id=34013 (492 words)

	Recent decrease in use of pelvic lymphadenectomy supported
		The use of pelvic lymphadenectomy has fallen over the past decade in prostate cancer patients with low- and intermediate-risk disease, reveal researchers who support the change.
		Previously, pelvic lymphadenectomy was routinely performed at the same time as radical retropubic prostatectomy in order to accurately stage disease, explain Jun Kawakami (University of California at San Francisco, USA) and team.
		During the study period, the pelvic lymphadenectomy rate decreased from 94% to 80%, due to a steady decrease in its use in the low- and intermediate-risk groups.
	www.casodex.net /6096_24115_2_0_0.aspx (346 words)

	Lymphadenectomy Improves Survival in Endometrioid Uterine Cancer
		Lymphadenectomy during surgery improves cancer-free survival among patients with stage 1 grade 3, and stages II-IV endometrioid uterine cancer.
		The impact of lymphadenectomy during surgical staging in patients with different stages of endometrioid uterine cancer remains unclear.
		Approximately one-third of the patients had undergone a lymphadenectomy during their staging procedure, while the remainder received a hysterectomy and bilateral salpingo-oophorectomy only.
	professional.cancerconsultants.com /oncology_main_news.aspx?id=37173 (448 words)

	GCIG
		NEW YORK (Reuters Health) Jun 15 - Pelvic lymphadenectomy improves outcomes in women with apparent early-stage endometrial cancer, according to a report in the June 1st Journal of Clinical Oncology.
		Havrilesky and colleagues investigated the effect on survival and morbidity of the extent of selective lymphadenectomy in 509 women who appeared to have endometrial cancer confined to the uterus at the time of surgery.
		"The finding that a more extensive pelvic lymphadenectomy is associated with improved survival suggests that there is value in performing this procedure in a systematic and thorough manner when feasible," the investigators write.
	ctep.cancer.gov /resources/gcig/news061505a.html (439 words)

	Stanford Cancer Center - Laparoscopic Lymphadenectomy (Site not responding. Last check: 2007-10-22)
		When investigating pelvic cancers (such as prostate, testicular, cervical, and uterine cancers) it is important to know whether the disease has spread to the lymph nodes in the region.
		During a laparoscopic lymphadenectomy the surgeon makes a small incision in the lower abdomen to reach the lymph nodes.
		Laparoscopic lymphadenectomy can provide results equivalent to surgical biopsies or lymph node removal and, although it is carried out under general anesthesia, it is less invasive than surgery so your hospital stay will be shorter and you will recover much faster and with less pain.
	cancer.stanfordhospital.com /forPatients/services/surgery/laparoscopicLymphadenectomy (325 words)

	eMedicine - The Role of Sentinel Node Biopsy in Skin Cancer : Article by Tina J Hieken, MD, FACS (Site not responding. Last check: 2007-10-22)
		The rationale for sentinel lymph node biopsy with selective lymphadenectomy in patients with intermediate-thickness melanoma is that the incidence of occult regional disease is significant in these patients, while the likelihood of distant metastatic disease remains quite low.
		Lymph node biopsy with selective lymphadenectomy should not be performed if the patient has undergone a prior wide local excision with a large rotation flap closure or a very wide excision with skin graft coverage.
		Complete regional lymphadenectomy should be performed in all patients with positive sentinel lymph node results, even when the volume of disease is quite small, in the absence of participation in a randomized clinical trial.
	www.emedicine.com /derm/topic580.htm (8576 words)

	World Journal of Surgical Oncology \| Full text \| Extent of lymphadenectomy in radical cystectomy for bladder cancer
		We have discussed the extent of lymphadenectomy on survival and its anatomical basis to determine the optimal number of lymph nodes to be removed and the concept of node density.
		Pelvic lymphadenectomy is routinely performed as part of radical cystectomy for bladder cancers; however, there is lack of consensus on the intent (therapeutic or diagnostic) and limits of lymph node dissection.
		Extensive lymphadenectomy increases the operating time and theoretically may increase the risk of hemorrhage and lymphocele formation, but studies have not shown a significant increase in morbidity with this procedure [22].
	www.wjso.com /content/3/1/43 (3248 words)

	Establishing a New Technique of Laparoscopic Pelvic and Para-Aortic Lymphadenectomy -- ALTGASSEN et al. 95 (3): 348 -- ...
		Videotape-assessed radicality of pelvic lymphadenectomy comparing the early group (patients 6–35) and the late group (patients 79–108).
		Complete lymphadenectomy in all subareas yielded a score of 36; incomplete lymphadenectomy in all subareas yielded a score of 6.
		Complete lymphadenectomy in all subareas yielded a score of 24; incomplete lymphadenectomy in all subareas yielded a score of 4.
	www.greenjournal.org /cgi/content/full/95/3/348 (1948 words)

	Surgical Management of Squamous Cell Carcinoma of the Penis
		Despite the encouraging prognosis for many patients with inguinal metastases who undergo inguinal or ilioinguinal lymphadenectomy, there has been a longstanding reluctance on the part of surgeons to subject patients to this procedure because of the 30 to 50 per cent incidence of major morbidity associated with it.
		The indications for inguinal and ilioinguinal lymphadenectomy are outlined in figure 1.
		In the setting of negative superficial and deep inguinal lymphadenectomies and a negative pelvic CT scan, pelvic lymphadenectomy is not required.
	www.duj.com /Article/Lynch/Lynch.html (4414 words)

	Medical Dictionary: Lymphadenectomy - WrongDiagnosis.com - WrongDiagnosis.com
		Lymphadenectomy: A surgical procedure in which the lymph nodes are removed and examined to see whether they contain cancer.
		For a regional lymphadenectomy, some of the lymph nodes in the tumor area are removed; for a radical lymphadenectomy, most or all of the lymph nodes in the tumor area are removed.
		Lymphadenectomy : surgical excision of one or more lymph nodes; it's common use is in cancer surgery.
	www.wrongdiagnosis.com /medical/lymphadenectomy_printer.htm (114 words)

	Prophylactic Radical Lymphadenectomy In Gastric Cancer (Site not responding. Last check: 2007-10-22)
		The postoperative survival rate of patients who underwent prophylactic extended lymphadenectomy was compared with that of patients who underwent prophylactic limited lymphadenectomy.
		Although extended lymphadenectomy did not appear to improve the postoperative survival rate of patients with mucosal tumors, it did improve the postoperative survival rate of patients with submucosal tumors.
		Extensive lymphadenectomy with gastrectomy should be performed to prolong the survival of the patients with submucosal tumors.
	www.indegene.com /Onc/Jour/indJour_CANC_Sum_01-10-2000_4.asp (223 words)

	the Trocar :: Online Videojournal of Gynecologic and surgical endoscopy (Site not responding. Last check: 2007-10-22)
		The first laparoscopic lymphadenectomy was reported in the late 1980’s and safety of this procedure has been largely proved.
		Lymphadenectomy is began by scheletonizing the external iliac artery.
		The proximal group of external iliac nodes is excised by entering the adventitious sheet of the vessels using the harmonic scalpel.
	www.thetrocar.net /view.asp?ID=31 (685 words)

	Laparoscopic lymphadenectomy for prostate cancer (Site not responding. Last check: 2007-10-22)
		Laparoscopic surgery (laparoscopy) is any surgery that involves inserting a lighted viewing instrument, called a laparoscope, and other instruments through small incisions in the belly instead of using one large incision for the operation.
		A lymphadenectomy is the removal of lymph nodes.
		A laparoscopic lymphadenectomy for prostate cancer removes the lymph nodes in the pelvic area around the prostate.
	www.webmd.com /prostate-cancer/Laparoscopic-lymphadenectomy-for-prostate-cancer (541 words)

	Retroperitoneal Drainage After Complete Para-aortic Lymphadenectomy for Gynecologic Cancer: A Randomized Trial -- ...
		Lymphadenectomy is an integral part of the surgical staging
		Pelvic lymphadenectomy is often extended to the para-aortic
		Interest of para-aortic lymphadenectomy in patients with stage IB and II cervical carcinoma.
	www.greenjournal.org /cgi/content/full/97/2/243 (2511 words)

	Lymphadenectomy - Wikipedia, the free encyclopedia
		Lymphadenectomy consists on the surgical removal of one or more groups of lymph nodes.
		Famed British surgeon Sir Berkeley Moynihan once remarked that "the surgery of cancer is not the surgery of organs; it is the surgery of the lymphatic system".
		The better known examples of lymphadenectomy are axillary lymph node dissection for breast cancer; radical neck dissection for head and neck cancer and thyroid cancer; D2 lymphadenectomy for gastric cancer; and total mesorectal excision for rectal cancer.
	en.wikipedia.org /wiki/Lymphadenectomy (411 words)

	Surgical management of metastatic inguinal lymphadenopathy -- Swan et al. 329 (7477): 1272 -- BMJ
		resection of the primary tumour and bilateral inguinal lymphadenectomy.
		of disease and subsequent lymphadenectomy at a curable stage.
		Preservation of the saphenous vein during inguinal lymphadenectomy decreases morbidity in patients with carcinoma of the vulva.
	www.bmj.com /cgi/content/full/329/7477/1272 (2640 words)

	isgeonco2
		Diagnostic reliability of "sentinel nodes" laparoscopic lymphadenectomy is still not adequate, as shown by comparing median number of nodes removed either by laparotomy or laparoscopy (Table 4).
		Nevertheless, in our opinion, if a therapeutic intent is pursued, lymphadenectomy should be carried out according to the natural history of genital cancers independent from the macroscopic aspect of lymph nodes.
		Until these technical limit are overheaded and results in terms of complications and survival are comparable to those obtained with laparotomy, laparoscopic lymphadenectomy should be performed only for study purposes.
	www.isge.org /laponco/page46.html (439 words)

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