Evaluation of risk factors for pelvic and paraaortic lymph node metastasis in endometrioid type endometrial cancer

Authors : Savaş ÖZDEMİR, Gul ÖZEL DOGAN, Hicran ŞİRİNOĞLU

Pages : 195-200

Doi:10.32322/jhsm.1208766

View : 48 | Download : 11

Publication Date : 2023-01-12

Article Type : Research Paper

Abstract :Aim: Determining the relationship between clinical and pathological features in endometrial cancer is essential for both prognostic and potential therapeutic benefits. In this study, we aimed to investigate the relationship between pelvic and paraaortic lymph node insert ignore into journalissuearticles values(PLN and PALN); metastasis and prognostic factors in patients with endometrial cancer insert ignore into journalissuearticles values(EC);. Material and Method: Medical records of patients who underwent primary surgery for EC in our gynecological oncology center between the 2016 and 2018 were reviewed retrospectively. The relationship between pelvic and paraaortic lymph node metastasis was evaluated with data such as patient age, body mass index, serum CA 125 level, macroscopic tumor diameter, and patients’ risk groups. Results: Fifty-seven patients with EC were evaluated. Lymph node involvement was detected in 10 patients insert ignore into journalissuearticles values(17.5%);. Acording to Modiffied Mayo criterias ; the patients with grade 3 EC had a higher risk of metastasis compared to other grades insert ignore into journalissuearticles values(p=0.025);. Patients with lymph node metastases had a greater depth of invasion insert ignore into journalissuearticles values(p=0.001);. There was no relationship between tumor size and lymph node metastasis insert ignore into journalissuearticles values(p=0.494);. In the logistic regression analysis, the depth of invasion was found to be an independent risk factor for lymph node metastasis. There was no significant relationship between the presence of PLN and PALN metastases in patients with high-risk endometrial cancer, but the presence of PALN metastasis was significant in patients with low-risk endometrial cancer with PLN metastasis insert ignore into journalissuearticles values(p=0.002);. Conclusion: These findings support the idea that routine evaluation of tumor invasion depth during endometrial cancer surgery may be useful in predicting lymph node metastasis and guiding the operation.
Keywords : Endometrial cancer, metastasis, lymph node

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