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Debate 13A - Should Enlarged Supradiaphragmatic Lymph Nodes be Routinely Removed during Debulking Surgery Procedures for Patients with Advanced Ovarian Cancer?

Yes

from Section III - Ovarian Cancer

Published online by Cambridge University Press:  20 July 2023

By
Annalisa Garbi  and
Vanna Zanagnolo
Edited by
Dennis S. Chi ,
Nisha Lakhi  and
Nicoletta Colombo
Dennis S. Chi
Affiliation:
Memorial Sloan-Kettering Cancer Center, New York
Nisha Lakhi
Affiliation:
Richmond University Medical Center, Staten Island
Nicoletta Colombo
Affiliation:
University of Milan-Bicocca
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Summary

Complete cytoreduction is the cornerstone of advanced ovarian cancer treatment. The positive impact of no residual disease has been demonstrated even in patients with stage IV disease. Involvement of cardiophrenic nodes (CPLNs), that qualifies as stage FIGO IVB, is common in advanced ovarian cancer. Surgical removal of CPLNs is considered a safe and feasible procedure, requiring a minimal surgical effort associated with a low morbidity. However, data about the impact of CPLN removal on oncologic outcomes are still scarce.

Type
Chapter
Information
50 Big Debates in Gynecologic Oncology , pp. 70 - 72
Publisher: Cambridge University Press
Print publication year: 2023

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References

Ataseven, B, et al. Impact of abdominal wall metastases on prognosis in epithelial ovarian cancer. Int J Gynecol Cancer 2016;26:1594–1600.CrossRefGoogle ScholarPubMed
Luger, AK, et al. Enlarged cardiophrenic lymph nodes predict disease involvement of the upper abdomen and the outcome of primary surgical debulking in advanced ovarian cancer. Acta Obstet Gynecol Scand 2020;99(8):1092–1099.CrossRefGoogle ScholarPubMed
Cowan, RA, et al. Feasibility, safety and clinical outcomes of cardiophrenic lymph node resection in advanced ovarian cancer. Gynecol Oncol 2017;147(2):262–266.CrossRefGoogle ScholarPubMed
Prader, S, et al. Pattern and impact of metastatic cardiophrenic lymph nodes in advanced epithelial ovarian cancer. Gynecol Oncol 2019;152(1):76–81.CrossRefGoogle ScholarPubMed
Larish, A, et al. Recurrence patterns in=patients with abnormal cardiophrenic lymph nodes at ovarian cancer diagnosis. Int J Gynecol Cancer 2020;30(4):504–508.CrossRefGoogle ScholarPubMed

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