Lintadenectomia Pélvica en Cáncer Ginecológico

Abstract

PROBLEMA. El cancer (CA) ginecologico constituye causa importante de morbi mortalidad. La diseminacion linfatica posee importancia como factor pron6stico y terapeutico. OBJETIVO: Evaluar la linfadenectomia pelvica en CA de cuello uterino, endometrio y ovario como elemento pronostico y terapeutico. METODO: Estudio descriptivo retrospectivo de una muestra seleccionada de 117 pacientes, 43 con CA de Cuello Uterino, 36 CA de endometrio y 38 CA de Ovario, entre enero 2000 y diciembre 2002. Seguimiento: 12-48 meses. Analisis mediante frecuencias relativas y Prueba exacta de Fisher. RESULTADOS: CUELLO UTERINO: Linfadenectomia a 79% de las pacientes. Grado tumoral: iinico factor pronostico significativo. ENDOMETRIO: Linfadenectomia efectuada al 58,33%. Factores pronosticos sin significancia estadistica. OVARIO: Linfadenectomia realizada al 28%. Factores pronosticos sin significancia estadistica. CONCLUSIONES: La linfadenectomia no fue factor pronostico para recaida y/o persistencia, no agrego complicaciones. El promedio de ganglios obtenidos y metastaticos the inferior a la literatura. Problem. Gynecologic cancer (gc) is a major cause of morbidity and mortality. Lymphatic spread is important as a prognostic and therapeutic factor. Objective: to evaluate pelvic lymphadenectomy in cervical, endometrial, and ovarian cancer as a prognostic and therapeutic element. Method: retrospective descriptive study of a selected sample of 117 patients: 43 with cervical cancer, 36 with endometrial cancer, and 38 with ovarian cancer, between january 2000 and december 2002. Follow-up: 12–48 months. Analysis using relative frequencies and fisher's exact test. Results: cervix: lymphadenectomy in 79% of patients. Tumor grade: the only significant prognostic factor. Endometrium: lymphadenectomy performed in 58.33%. Prognostic factors without statistical significance. Ovary: lymphadenectomy performed in 28% of cases. Prognostic factors without statistical significance. Conclusions: lymphadenectomy was not a prognostic factor for relapse and/or persistence, nor did it add complications. The average number of lymph nodes obtained and metastatic was lower than reported in the literature