Fallopian tube cancer: Incidence and role of lymphatic spread

Emanuela Di Re, Giuseppe Grosso, Francesco Raspagliesi, Gabriela Baiocchi

Research output: Contribution to journalArticle

Abstract

Lymphatic spread pattern in 17 cases of adenocarcinoma of fallopian tube is reported. Median age of the patients was 48 years. All patients underwent surgical staging including total abdominal hysterectomy, bilateral salpingo-oophorectomy omentectomy, and appendectomy. Systematic pelvic and paraaortic lymphadenectomy was feasible in 15 cases. Majority of the patients (11 of 17 cases, 64%) had advanced disease and showed serous adenocarcinoma (83%). Lymph nodes were involved in 10 of 17 cases (59%). Node metastases rate increased significantly (P <0.01) with intraperitoneal stage of disease and with grading. Interestingly, positive nodes were also found in 2 cases (33%) of 6 patients with disease still limited to fallopian tube. Overall, patients with negative nodes had a median survival of 76 months, compared with only 33 months if node metastases were found. In conclusion, combined pelvic and para-aortic lymphadenectomy seems to be necessary for staging and perhaps for prognosis of this disease.

Original languageEnglish
Pages (from-to)199-202
Number of pages4
JournalGynecologic Oncology
Volume62
Issue number2
DOIs
Publication statusPublished - Aug 1996

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

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