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[Para-aortic lymphadenectomy in gynecology. Theoretical principles, basic approach and practical suggestions]
J Spacek1, Z Veselský, J Tosner
1Porodnická a gynekologická klinika, FN v Hradci Králové.
Objective:
To present a review of para-aortic lymphadenectomy in gynecology.
Subjects:
Review.
Setting:
Department of Obstetrics and Gynecology, Department of Urology, Medical Faculty Hradec Králové, Charles University, Prague; Bristol-Myers Squibb, Department of Oncology, Prague.
Subject And Method:
Discussion about current evidence from literature and our own experience.
Conclusion:
In the past 20 years, pelvic and paraaortic lymphadenectomy has become part of the standard surgical treatment of ovarian cancer. Overall, about 40% of patients with ovarian cancer will have nodal involvement. Regarding to this real probability is para-aortic lymphadenectomy very important part of surgical treatment in this disease.