[Para-aortic lymph node staging in grade IB2 and above cervical cancers: comparison of 18FDG PET-CT with para-aortic lymphadenectomy, using data from the Côte d'Or gynaecological cancer registry from 2003 to 2016].
Fiche publication
Date publication
janvier 2021
Journal
Gynecologie, obstetrique, fertilite & senologie
Auteurs
Membres identifiés du Cancéropôle Est :
Pr COUTANT Charles, Dr ROUFFIAC-THOUANT Magali
Tous les auteurs :
Carre A, Sellier J, Kamga AM, Dabakuyo S, Rouffiac M, Coutant C
Lien Pubmed
Résumé
Current guidelines (ASCO, ESTRO, and ESGO) recommend para-aortic lymphadenectomy (PAL) for lymph node staging in patients with a negative initial PET-CT in locally advanced cervical cancer (LACC), with the aim to determine the radiation fields for radiochemotherapy. The main goal of this study was to compare overall survival (OS) in two groups, which differed according to the para-aortic lymph node staging technique used: imaging alone versus imaging and PAL. Secondary objectives were to determine recurrence-free survival (RFS), the proportion of false negatives on PET-CT, and surgery-related complications.
Mots clés
PET-CT, PETscan, cancer du col localement avancé, curage lombo-aortique, locally advanced cervical cancer, para-aortic lymph node staging, para-aortic lymphadenectomy, stadification ganglionnaire lombo-aortique
Référence
Gynecol Obstet Fertil Senol. 2021 Jan 20;: