Contralateral Pelvic and Aortic Lymph Node Metastasis in Clinical Stage I Epithelial Ovarian Cancer

• Published in: Gynecologic oncology Vol. 74; no. 1; pp. 128 - 129
• Main Authors: Walter, Andrew J., Magrina, Javier F.
• Format: Journal Article
• Language: English
• Published: San Diego, CA Elsevier Inc 01.07.1999; Elsevier
• Subjects: Adenocarcinoma - secondary; Aged; Biological and medical sciences; epithelial ovarian cancer; Female; Female genital diseases; Gynecology. Andrology. Obstetrics; Humans; lymph node metastasis; lymphadenectomy; Lymphatic Metastasis; Medical sciences; Neoplasm Staging; ovarian adenocarcinoma; Ovarian Neoplasms - pathology; Tumors; epithelial ovarian cancer; lymphadenectomy; lymph node metastasis; ovarian adenocarcinoma; Human; Clinical form; Malignant lymphadenopathy; Metastasis; Malignant tumor; Female genital diseases; Case study; Ovarian diseases; Ovary; Pelvic ganglion; Histopathology; Contralateral; Female; Paraaortic ganglion
• ISSN: 0090-8258; 1095-6859
• DOI: 10.1006/gyno.1999.5370

Bilateral pelvic and aortic node lymphadenectomy is recommended for clinically localized unilateral epithelial ovarian adenocarcinoma (International Federation of Gynecologists and Obstetricians stage IA). The laterality of nodal metastasis in clinical stage I disease is rarely documented in the literature. Some authors have reported that ipsilateral node dissection is adequate for staging. A patient with contralateral pelvic and aortic lymph node metastasis and clinical stage I epithelial ovarian adenocarcinoma is presented. Pathologic findings were consistent with contralateral-only lymph node metastasis. This case illustrates the importance of bilateral lymph node sampling for appropriate staging of clinically localized epithelial ovarian cancer.