A formula for selective lymphadenectomy. Its application to cancer of the vulva.
Morris Jm
Abstract
Morris Jm
Abstract
A statistical formula can be applied to aid clinical judgment in decisions regarding the advisability of lymphadenectomy in gynecologic cancer. If benefit (B) factors in a given case do not exceed debit (D) factors, the procedure is ill-advised. In unilateral vulvar cancer, for example, if the ipsilateral inguinal nodes are negative, the risks from routine contralateral or deep pelvic node dissection appear to exceed the benefits.
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A statistical formula can be applied to aid clinical judgment in decisions regarding the advisability of lymphadenectomy in gynecologic cancer. If benefit (B) factors in a given case do not exceed debit (D) factors, the procedure is ill-advised. In unilateral vulvar cancer, for example, if the ipsilateral inguinal nodes are negative, the risks from routine contralateral or deep pelvic node dissection appear to exceed the benefits.
Key concepts: Medicine, Vulvar cancer, Vulva, Dissection (medical), Lymphadenectomy, Gynecologic cancer, General surgery, Cancer