Evaluation of Patients after Extraperitoneal Lymph Node Dissection and Subsequent Radiotherapy for Cervical Cancer
Objective. The presence of nodal metastases is the most important prognostic factor in cervical cancer. To adjust our therapy based on the true extent of the patient's disease, we performed an extraperitoneal lymph node dissection (EPLND) in all patients with cervical cancer prior to radiothera...
Saved in:
Published in | Gynecologic oncology Vol. 84; no. 2; pp. 321 - 326 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
San Diego, CA
Elsevier Inc
01.02.2002
Elsevier |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Objective. The presence of nodal metastases is the most important prognostic factor in cervical cancer. To adjust our therapy based on the true extent of the patient's disease, we performed an extraperitoneal lymph node dissection (EPLND) in all patients with cervical cancer prior to radiotherapy (RT) or radical hysterectomy.
Methods. Thirty-three patients with carcinoma of the cervix underwent EPLND. The value of this procedure as a diagnostic tool for monitoring the extension of the disease was determined. Additionally, EPLND/RT-associated treatment complications were monitored.
Results. The combined treatment approach of EPLND with RT or chemotherapy/RT was without major complications. Nineteen patients showed a temperature elevation, but only one patient had a fever of greater than 39.0°C. Fourteen (48.3%) of 29 patients experienced some degree of proctitis or diarrhea and 3 (10.3%) experienced cystitis during the course of RT. No grade 3 or 4 acute or late genitourinary or gastrointestinal toxicities were noted. EPLND changed the clinical management for 6 patients from a radical hysterectomy to RT and for 7 patients from standard-field RT to extended-field RT. Without EPLND these 7 patients would have received RT with standard pelvic fields that would not have treated involved lymph node areas at high risk for subsequent failure.
Conclusion. Thirteen (44.8%) of 29 patients received a different treatment than would otherwise have been administered with standard treatment planning. Therefore, we suggest that EPLND should be performed in all patients with cervical cancer prior to radical surgery or RT. |
---|---|
AbstractList | Objective. The presence of nodal metastases is the most important prognostic factor in cervical cancer. To adjust our therapy based on the true extent of the patient's disease, we performed an extraperitoneal lymph node dissection (EPLND) in all patients with cervical cancer prior to radiotherapy (RT) or radical hysterectomy.
Methods. Thirty-three patients with carcinoma of the cervix underwent EPLND. The value of this procedure as a diagnostic tool for monitoring the extension of the disease was determined. Additionally, EPLND/RT-associated treatment complications were monitored.
Results. The combined treatment approach of EPLND with RT or chemotherapy/RT was without major complications. Nineteen patients showed a temperature elevation, but only one patient had a fever of greater than 39.0°C. Fourteen (48.3%) of 29 patients experienced some degree of proctitis or diarrhea and 3 (10.3%) experienced cystitis during the course of RT. No grade 3 or 4 acute or late genitourinary or gastrointestinal toxicities were noted. EPLND changed the clinical management for 6 patients from a radical hysterectomy to RT and for 7 patients from standard-field RT to extended-field RT. Without EPLND these 7 patients would have received RT with standard pelvic fields that would not have treated involved lymph node areas at high risk for subsequent failure.
Conclusion. Thirteen (44.8%) of 29 patients received a different treatment than would otherwise have been administered with standard treatment planning. Therefore, we suggest that EPLND should be performed in all patients with cervical cancer prior to radical surgery or RT. The presence of nodal metastases is the most important prognostic factor in cervical cancer. To adjust our therapy based on the true extent of the patient's disease, we performed an extraperitoneal lymph node dissection (EPLND) in all patients with cervical cancer prior to radiotherapy (RT) or radical hysterectomy. Thirty-three patients with carcinoma of the cervix underwent EPLND. The value of this procedure as a diagnostic tool for monitoring the extension of the disease was determined. Additionally, EPLND/RT-associated treatment complications were monitored. The combined treatment approach of EPLND with RT or chemotherapy/RT was without major complications. Nineteen patients showed a temperature elevation, but only one patient had a fever of greater than 39.0 degrees C. Fourteen (48.3%) of 29 patients experienced some degree of proctitis or diarrhea and 3 (10.3%) experienced cystitis during the course of RT. No grade 3 or 4 acute or late genitourinary or gastrointestinal toxicities were noted. EPLND changed the clinical management for 6 patients from a radical hysterectomy to RT and for 7 patients from standard-field RT to extended-field RT. Without EPLND these 7 patients would have received RT with standard pelvic fields that would not have treated involved lymph node areas at high risk for subsequent failure. Thirteen (44.8%) of 29 patients received a different treatment than would otherwise have been administered with standard treatment planning. Therefore, we suggest that EPLND should be performed in all patients with cervical cancer prior to radical surgery or RT. |
Author | Van, T.John Salama, Joseph K. Amosson, Chad Hasenburg, Annette Kieback, Dirk G. Chiu, J.Kam |
Author_xml | – sequence: 1 givenname: Annette surname: Hasenburg fullname: Hasenburg, Annette organization: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, 77030 – sequence: 2 givenname: Joseph K. surname: Salama fullname: Salama, Joseph K. organization: Department of Radiology, Baylor College of Medicine, Houston, Texas, 77030; Section of Radiation Oncology, Baylor College of Medicine, Houston, Texas, 77030 – sequence: 3 givenname: T.John surname: Van fullname: Van, T.John organization: Department of Radiology, Baylor College of Medicine, Houston, Texas, 77030; Section of Radiation Oncology, Baylor College of Medicine, Houston, Texas, 77030 – sequence: 4 givenname: Chad surname: Amosson fullname: Amosson, Chad organization: Department of Radiology, Baylor College of Medicine, Houston, Texas, 77030; Section of Radiation Oncology, Baylor College of Medicine, Houston, Texas, 77030 – sequence: 5 givenname: J.Kam surname: Chiu fullname: Chiu, J.Kam organization: Department of Radiology, Baylor College of Medicine, Houston, Texas, 77030; Section of Radiation Oncology, Baylor College of Medicine, Houston, Texas, 77030 – sequence: 6 givenname: Dirk G. surname: Kieback fullname: Kieback, Dirk G. organization: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, 77030 |
BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13537605$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/11812094$$D View this record in MEDLINE/PubMed |
BookMark | eNp1kMtOAyEUQInRaH1sXRo2LqdehjKFpan1kTRqfKwnDFwU0w4Vpo39e6lt0pUrWJwD955jst-GFgk5Z9BnANXVx6oN_RKA9StRyj3SY6BEUUmh9kkPQEEhSyGPyHFKXwDAgZWH5IgxyUpQgx6J46WeLnTnQ0uDo8_5hm2XqHYdRjr-6aKeY_Rd_lVP6WQ1m3_Sx2CR3viU0Px5urX0ddEk_F5kl75o60P3idlcURciHWFcepP1kW4NxlNy4PQ04dn2PCHvt-O30X0xebp7GF1PCsOH0BUVVwi6QtcoabE0XDQwEA4V5wDOodZGiMYKPuRGDSQbGotcGlClRgQD_IT0N--aGFKK6Op59DMdVzWDeh2vXser1_HqdbwsXGyE-aKZod3h21oZuNwCOuV9XMz7-LTjeB6mApE5ueEwr7f0GOtkclaD1sfcrLbB_zfDLxluj5Q |
CODEN | GYNOA3 |
CitedBy_id | crossref_primary_10_1002_cncr_25739 crossref_primary_10_1007_s00259_018_4219_5 crossref_primary_10_1097_IGC_0000000000001225 crossref_primary_10_1016_j_ygyno_2005_07_072 crossref_primary_10_1097_IGC_0000000000000177 crossref_primary_10_3802_jgo_2021_32_e4 crossref_primary_10_1016_j_ajog_2015_05_026 crossref_primary_10_2967_jnumed_109_066217 crossref_primary_10_1016_j_ygyno_2007_04_009 crossref_primary_10_1186_s40814_017_0218_8 crossref_primary_10_1016_j_ygyno_2004_08_053 crossref_primary_10_1111_j_1525_1438_2007_00895_x crossref_primary_10_1016_j_ejogrb_2005_09_019 crossref_primary_10_1097_COC_0b013e3182610537 crossref_primary_10_1007_s00761_006_1115_6 crossref_primary_10_1016_j_ygyno_2006_12_012 crossref_primary_10_1016_j_ygyno_2007_09_011 crossref_primary_10_1016_S1470_2045_12_70011_6 crossref_primary_10_2298_VSP0907539P crossref_primary_10_1016_S0167_8140_03_00244_5 crossref_primary_10_1002_cncr_23400 crossref_primary_10_1002_jso_21360 crossref_primary_10_1186_s12967_018_1703_4 crossref_primary_10_1016_j_ygyno_2016_11_044 crossref_primary_10_1196_annals_1414_029 crossref_primary_10_1016_S0304_5013_03_75860_9 crossref_primary_10_1016_j_jmig_2006_04_007 |
Cites_doi | 10.1016/0360-3016(89)90145-4 10.1016/0002-9378(77)90633-0 10.1002/(SICI)1097-0142(19980601)82:11<2241::AID-CNCR20>3.0.CO;2-T 10.1056/NEJM199904153401501 10.1002/1097-0142(19841115)54:10<2215::AID-CNCR2820541024>3.0.CO;2-H 10.1006/gyno.1996.0129 10.1056/NEJM199904153401503 10.1016/0090-8258(89)90029-2 10.1006/gyno.1999.5472 10.1016/0002-9378(71)90551-5 10.1006/gyno.1997.4865 10.1080/j.1600-0412.1999.780215.x 10.1667/0033-7587(2000)154[0229:CFCOTC]2.0.CO;2 10.1006/gyno.2000.5977 10.1056/NEJM199904153401502 10.1016/0029-7844(95)00109-5 10.1046/j.1525-1438.1995.05040250.x 10.1016/0090-8258(89)90070-X 10.1016/0090-8258(89)90513-1 10.1016/0002-9378(64)90733-1 10.1016/0090-8258(83)90110-5 10.1001/jama.1995.03530050035029 10.1097/00000421-198406000-00009 10.2214/ajr.175.3.1750759 10.1016/0360-3016(95)00204-5 10.1016/S0360-3016(96)00468-3 10.1016/S0002-9378(96)70656-7 10.1016/S0020-7292(99)00227-1 10.1016/0090-8258(90)90085-Y 10.1016/0090-8258(84)90151-3 10.1097/00003081-199012000-00021 10.1002/1097-0142(196501)18:1<34::AID-CNCR2820180107>3.0.CO;2-L |
ContentType | Journal Article |
Copyright | 2002 Elsevier Science (USA) 2002 INIST-CNRS 2002 Elsevier Science. |
Copyright_xml | – notice: 2002 Elsevier Science (USA) – notice: 2002 INIST-CNRS – notice: 2002 Elsevier Science. |
DBID | IQODW CGR CUY CVF ECM EIF NPM AAYXX CITATION |
DOI | 10.1006/gyno.2001.6528 |
DatabaseName | Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1095-6859 |
EndPage | 326 |
ExternalDocumentID | 10_1006_gyno_2001_6528 11812094 13537605 S009082580196528X |
Genre | Clinical Trial Journal Article |
GroupedDBID | --- --K --M .1- .55 .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 29I 3O- 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 8P~ 9JM AABNK AACTN AAEDT AAEDW AAIAV AAIKJ AAKOC AALRI AAOAW AAQFI AAQQT AAQXK AAXUO ABBQC ABFNM ABFRF ABJNI ABLVK ABMAC ABMZM ABXDB ABYKQ ACDAQ ACGFO ACGFS ACRLP ADBBV ADEZE ADFGL ADMUD AEBSH AEFWE AEKER AENEX AEVXI AFCTW AFFNX AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AHHHB AHPSJ AIEXJ AIKHN AITUG AJBFU AJOXV AJRQY AJUYK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CAG COF CS3 DM4 DU5 EBS EFBJH EFLBG EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HED HMK HMO HVGLF HZ~ IH2 IHE J1W K-O KOM L7B LCYCR LG5 M29 M41 MO0 N9A O-L O9- OAUVE OQ. OZT P-8 P-9 P2P PC. PH~ Q38 R2- RIG ROL RPZ SAE SCC SDF SDG SDP SES SEW SPCBC SSH SSZ T5K UDS UHS UV1 WUQ X7M XPP Z5R ZGI ZMT ZU3 ZXP ~G- 08R AAPBV AAUGY ABPIF ABPTK IQODW AAXKI AFJKZ AKRWK CGR CUY CVF ECM EIF NPM AAYXX ACRPL ADNMO CITATION |
ID | FETCH-LOGICAL-c370t-639e0a6efb98de2c35b045fe93300ffeaac55bd5373c94817cde38c092aee0c03 |
IEDL.DBID | AIKHN |
ISSN | 0090-8258 |
IngestDate | Fri Dec 06 05:13:33 EST 2024 Sat Sep 28 07:41:37 EDT 2024 Sun Oct 22 16:06:29 EDT 2023 Fri Feb 23 02:31:03 EST 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 2 |
Keywords | toxicity radiotherapy lymph nodes cervical cancer extended field extraperitoneal lymph node dissection Performance evaluation Human Carcinoma Lymph node Malignant tumor Uterine cervix Hysterectomy Radiotherapy Female genital diseases Clinical stage Treatment Surgery Female Diagnosis Preoperative Technique Dissection Uterine cervix diseases |
Language | English |
License | CC BY 4.0 2002 Elsevier Science. https://www.elsevier.com/tdm/userlicense/1.0 |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c370t-639e0a6efb98de2c35b045fe93300ffeaac55bd5373c94817cde38c092aee0c03 |
PMID | 11812094 |
PageCount | 6 |
ParticipantIDs | crossref_primary_10_1006_gyno_2001_6528 pubmed_primary_11812094 pascalfrancis_primary_13537605 elsevier_sciencedirect_doi_10_1006_gyno_2001_6528 |
PublicationCentury | 2000 |
PublicationDate | 2002-02-01 |
PublicationDateYYYYMMDD | 2002-02-01 |
PublicationDate_xml | – month: 02 year: 2002 text: 2002-02-01 day: 01 |
PublicationDecade | 2000 |
PublicationPlace | San Diego, CA |
PublicationPlace_xml | – name: San Diego, CA – name: United States |
PublicationTitle | Gynecologic oncology |
PublicationTitleAlternate | Gynecol Oncol |
PublicationYear | 2002 |
Publisher | Elsevier Inc Elsevier |
Publisher_xml | – name: Elsevier Inc – name: Elsevier |
References | Rose, Bundy, Watkins, Thigpen, Deppe, Maiman, Clarke-Pearson, Insalaco (RF40) 1999; 340 Malfetano, Keys, Cunningham, Gibbons, Ambros (RF10) 1997; 67 Weiser, Bundy, Hoskins, Heller, Whittington, DiSaia, Curry, Schlaerth, Thigpen (RF23) 1989; 33 Goff, Muntz, Paley, Tamimi, Koh, Greer (RF35) 1999; 74 Plentl, Friedman (RF1) 1971 Wharton, Jones, Day, Rutledge, Fletcher (RF20) 1977; 49 Hacker, Wain, Nicklin (RF37) 1995; 5 Stryker, Mortel (RF8) 2000; 79 Coleman (RF22) 1996 Potish, Twiggs, Prem, Levitt, Adcock (RF26) 1984; 7 Eifel (RF29) 2000; 154 Potish, Adcock, Thomas, Levitt, Prem, Savage, Twiggs (RF38) 1983; 15 Keys, Bundy, Stehman, Muderspach, Chafe, Suggs, Walker, Gersell (RF39) 1999; 340 Oellinger, Blohmer, Michniewicz, Siewert, Wust, Gutberlet, Lichtenegger, Felix (RF16) 2000; 122 Kottmeier (RF33) 1964; 88 Morrow, Curtin (RF34) 1996 Van Nagel, Roddick, Lowin (RF12) 1971; 110 Massi, Susini, Amunni (RF21) 2000; 69 (RF19) 1996; 14 John, Flam, Caplan, Rotman, Quivey, Steinfeld, Russell (RF28) 1996; 61 Heller, Maletano, Bundy, Barnhill, Okagaki (RF13) 1990; 38 Morris, Eifel, Jiandong, Grigsby, Levenback, Stevens, Rotman, Gershenson, Mutch (RF41) 1999; 340 Yang, Lam, Yu, Cheung, Metreweli (RF14) 2000; 175 Berman, Lagasse, Watring, Ballon, Schlesinger, Moore, Donaldson (RF24) 1977; 50 Beyer, Murphy (RF30) 1965; 18 Heaps, Berek (RF7) 1990; 33 Rotman, Patak, Choi, Clery, Marcial, Grigsby, Cooper, John (RF31) 1995; 274 Toita, Nakano, Higashi, Sakumoto, Kanazawa (RF4) 1995; 33 Berman, Keys, Creasman, DiSaia, Bundy, Blessing (RF25) 1984; 19 Cosin, Fowler, Chen, Paley, Carson, Twiggs (RF36) 1998; 82 Alvarez, Soong, Kinney, Reid, Schray, Podratz, Morley, Shingleton (RF3) 1989; 35 Ozalp, Yalcin, Polay, Aslan, Vardareli, Adapinar (RF15) 1999; 78 Scheidler, Hricak, Yu, Subak, Segal (RF18) 1997; 278 Delgado, Bundy, Fowler, Stehman, Sevin, Creasman, Major, DiSaia, Zaino (RF2) 1989; 35 Subak, Hricak, Powell, Azizi, Stern (RF17) 1995; 86 Schultheiss, Lee, Hunt, Hanlon, Peters, Hanks (RF32) 1997; 37 Moore, Stehman (RF5) 1996; 21 Nelson, Boyce, Macasaet, Lu, Bohorquez, Fruchter (RF11) 1977; 128 Potish, Downey, Adcock, Prem, Twiggs (RF27) 1989; 17 Kjorstad, Kolbenstvedt, Strickert (RF6) 1984; 54 Greer, Koh, Stelzer, Goff, Comsia, Tran (RF9) 1996; 174 Plentl (10.1006/gyno.2001.6528_RF1) 1971 Malfetano (10.1006/gyno.2001.6528_RF10) 1997; 67 Ozalp (10.1006/gyno.2001.6528_RF15) 1999; 78 Berman (10.1006/gyno.2001.6528_RF25) 1984; 19 (10.1006/gyno.2001.6528_RF19) 1996; 14 Alvarez (10.1006/gyno.2001.6528_RF3) 1989; 35 Greer (10.1006/gyno.2001.6528_RF9) 1996; 174 Wharton (10.1006/gyno.2001.6528_RF20) 1977; 49 Berman (10.1006/gyno.2001.6528_RF24) 1977; 50 Beyer (10.1006/gyno.2001.6528_RF30) 1965; 18 Schultheiss (10.1006/gyno.2001.6528_RF32) 1997; 37 Heller (10.1006/gyno.2001.6528_RF13) 1990; 38 Cosin (10.1006/gyno.2001.6528_RF36) 1998; 82 Kottmeier (10.1006/gyno.2001.6528_RF33) 1964; 88 Weiser (10.1006/gyno.2001.6528_RF23) 1989; 33 Oellinger (10.1006/gyno.2001.6528_RF16) 2000; 122 Potish (10.1006/gyno.2001.6528_RF27) 1989; 17 Toita (10.1006/gyno.2001.6528_RF4) 1995; 33 Delgado (10.1006/gyno.2001.6528_RF2) 1989; 35 Kjorstad (10.1006/gyno.2001.6528_RF6) 1984; 54 Van Nagel (10.1006/gyno.2001.6528_RF12) 1971; 110 Hacker (10.1006/gyno.2001.6528_RF37) 1995; 5 John (10.1006/gyno.2001.6528_RF28) 1996; 61 Scheidler (10.1006/gyno.2001.6528_RF18) 1997; 278 Rose (10.1006/gyno.2001.6528_RF40) 1999; 340 Morrow (10.1006/gyno.2001.6528_RF34) 1996 Heaps (10.1006/gyno.2001.6528_RF7) 1990; 33 Yang (10.1006/gyno.2001.6528_RF14) 2000; 175 Potish (10.1006/gyno.2001.6528_RF26) 1984; 7 Coleman (10.1006/gyno.2001.6528_RF22) 1996 Goff (10.1006/gyno.2001.6528_RF35) 1999; 74 Nelson (10.1006/gyno.2001.6528_RF11) 1977; 128 Morris (10.1006/gyno.2001.6528_RF41) 1999; 340 Keys (10.1006/gyno.2001.6528_RF39) 1999; 340 Stryker (10.1006/gyno.2001.6528_RF8) 2000; 79 Rotman (10.1006/gyno.2001.6528_RF31) 1995; 274 Massi (10.1006/gyno.2001.6528_RF21) 2000; 69 Eifel (10.1006/gyno.2001.6528_RF29) 2000; 154 Moore (10.1006/gyno.2001.6528_RF5) 1996; 21 Subak (10.1006/gyno.2001.6528_RF17) 1995; 86 Potish (10.1006/gyno.2001.6528_RF38) 1983; 15 |
References_xml | – volume: 21 start-page: 43 year: 1996 end-page: 46 ident: RF5 article-title: What is the appropriate management of early stage cervical cancer (International Federation of Gynecology and Obstetrics Stages I and IIA), surgical assessment of lymph nodes, and role of therapeutic resection of lymph nodes involved with cancer? publication-title: Monogr Natl Cancer Inst contributor: fullname: Stehman – volume: 69 start-page: 27 year: 2000 end-page: 35 ident: RF21 article-title: Extraperitoneal pelvic lymphadenectomy to complement vaginal operations for cervical and endometrial cancer publication-title: Int J Gynaecol Obstet contributor: fullname: Amunni – volume: 19 start-page: 8 year: 1984 end-page: 16 ident: RF25 article-title: Survival and patterns in cervical cancer metastatic to periaortic lymph nodes: a Gynecologic Oncology Group study publication-title: Gynecol Oncol contributor: fullname: Blessing – volume: 5 start-page: 250 year: 1995 end-page: 256 ident: RF37 article-title: Resection of bulky positive lymph nodes in patients with cervical carcinoma publication-title: Int J Gynecol Cancer contributor: fullname: Nicklin – volume: 82 start-page: 2241 year: 1998 end-page: 2248 ident: RF36 article-title: Pretreatment surgical staging of patients with cervical carcinoma: the case for lymph node debulking publication-title: Cancer contributor: fullname: Twiggs – volume: 67 start-page: 203 year: 1997 end-page: 207 ident: RF10 article-title: Extended field radiation and cisplatin for stage IIB and IIIB cervical carcinoma publication-title: Gynecol Oncol contributor: fullname: Ambros – volume: 122 start-page: 82 year: 2000 end-page: 91 ident: RF16 article-title: Pre-operative staging of cervical cancer: comparison of magnetic resonance imaging (MRI) and computed tomography (CT) with histologic results publication-title: Zentralbl Gynakol contributor: fullname: Felix – volume: 340 start-page: 1137 year: 1999 end-page: 1143 ident: RF41 article-title: Pelvic radiation with concurrent chemotherapy compared with pelvic and para-aortic radiation for high-risk cervical cancer publication-title: N Engl J Med contributor: fullname: Mutch – volume: 175 start-page: 759 year: 2000 end-page: 766 ident: RF14 article-title: Comparison of dynamic helical CT and dynamic MR imaging in the evaluation of pelvic lymph nodes in cervical carcinoma publication-title: AJR Am J Roentgenol contributor: fullname: Metreweli – volume: 86 start-page: 43 year: 1995 end-page: 50 ident: RF17 article-title: Cervical carcinoma: computed tomography and magnetic resonance imaging for preoperative staging publication-title: Obstet Gynecol contributor: fullname: Stern – volume: 33 start-page: 843 year: 1995 end-page: 849 ident: RF4 article-title: Prognostic value of cervical size and pelvic lymph node status assessed by computed tomography for patients with uterine cervical cancer treated by radical radiation therapy publication-title: Int J Radiat Oncol Biol Phys contributor: fullname: Kanazawa – volume: 14 start-page: 1 year: 1996 end-page: 38 ident: RF19 publication-title: NIH Consensus Statement. – year: 1971 ident: RF1 article-title: Clinical significance of cervical lymphatics publication-title: Lymphatic system of the female genitalia contributor: fullname: Friedman – volume: 79 start-page: 399 year: 2000 end-page: 405 ident: RF8 article-title: Survival following extended field irradiation in carcinoma of cervix metastatic to para-aortic lymph nodes publication-title: Gynecol Oncol contributor: fullname: Mortel – volume: 49 start-page: 333 year: 1977 end-page: 338 ident: RF20 article-title: Preirradiation celiotomy and extended field irradiation for invasive carcinoma of the cervix publication-title: Obstet Gynecol contributor: fullname: Fletcher – volume: 38 start-page: 425 year: 1990 end-page: 430 ident: RF13 article-title: Clinical-pathologic study of stage IIB, III, and IVA carcinoma of the cervix: extended diagnostic evaluation for paraaortic node metastasis—a Gynecologic Oncology Group study publication-title: Gynecol Oncol contributor: fullname: Okagaki – start-page: 31 year: 1996 end-page: 35 ident: RF22 article-title: Extraperitoneal approaches to lymphadenectomy publication-title: Operative techniques in gynecologic surgery contributor: fullname: Coleman – volume: 37 start-page: 3 year: 1997 end-page: 11 ident: RF32 article-title: Late GI and GU complications in the treatment of prostate cancer publication-title: Int J Radiat Oncol Biol Phys contributor: fullname: Hanks – volume: 15 start-page: 1 year: 1983 end-page: 9 ident: RF38 article-title: The morbidity and utility of periaortic radiotherapy in cervical carcinoma publication-title: Gynecol Oncol contributor: fullname: Twiggs – volume: 154 start-page: 229 year: 2000 end-page: 236 ident: RF29 article-title: Chemoradiation for carcinoma of the cervix: advances and opportunities publication-title: Radiat Res contributor: fullname: Eifel – volume: 54 start-page: 2215 year: 1984 end-page: 2219 ident: RF6 article-title: The value of complete lymphadenectomy in radical treatment of cancer of the cervix, stage Ib publication-title: Cancer contributor: fullname: Strickert – volume: 110 start-page: 973 year: 1971 end-page: 978 ident: RF12 article-title: The staging of cervical cancer: inevitable discrepancies between clinical staging and pathologic findings publication-title: Am J Obstet Gynecol contributor: fullname: Lowin – volume: 50 start-page: 658 year: 1977 end-page: 664 ident: RF24 article-title: The operative evaluation of patients with cervical carcinoma by an extraperitoneal approach publication-title: Obstet Gynecol contributor: fullname: Donaldson – volume: 340 start-page: 1154 year: 1999 end-page: 1161 ident: RF39 article-title: Cisplatin, radiation, and adjuvant hysterectomy compared with radiation and adjuvant hysterectomy for bulky stage IB cervical carcinoma publication-title: N Engl J Med contributor: fullname: Gersell – volume: 78 start-page: 155 year: 1999 end-page: 159 ident: RF15 article-title: Diagnostic efficacy of the preoperative lymphoscintigraphy, Ga-67 scintigraphy and computed tomography for detection of lymph node metastasis in cases with ovarian or endometrial carcinoma publication-title: Acta Obstet Gynecol Scand contributor: fullname: Adapinar – volume: 278 start-page: 1096 year: 1997 end-page: 1101 ident: RF18 article-title: Radiological evaluation of lymph node metastases in patients with cervical cancer publication-title: A meta-analysis. JAMA contributor: fullname: Segal – volume: 174 start-page: 1141 year: 1996 end-page: 1150 ident: RF9 article-title: Expanded pelvic radiotherapy fields for treatment of local-regionally advanced carcinoma of the cervix: outcome and complications publication-title: Am J Obstet Gynecol contributor: fullname: Tran – volume: 35 start-page: 130 year: 1989 end-page: 135 ident: RF3 article-title: Identification of prognostic factors and risk groups in patients found to have nodal metastasis at the time of radical hysterectomy for early-stage squamous carcinoma of the cervix publication-title: Gynecol Oncol contributor: fullname: Shingleton – volume: 128 start-page: 336 year: 1977 end-page: 340 ident: RF11 article-title: Incidence, significance, and follow-up of para-aortic lymph node metastases in late invasive carcinoma of the cervix publication-title: Am J Obstet Gynecol contributor: fullname: Fruchter – year: 1996 ident: RF34 article-title: Surgery for cervical neoplasia publication-title: Gynecologic cancer surgery contributor: fullname: Curtin – volume: 61 start-page: 221 year: 1996 end-page: 226 ident: RF28 article-title: Final results of a phase II chemoradiation protocol for locally advanced cervical cancer: RTOG 85-15 publication-title: Gynecol Oncol contributor: fullname: Russell – volume: 274 start-page: 387 year: 1995 end-page: 393 ident: RF31 article-title: Prophylactic extended-field irradiation of para-aortic lymph nodes in stages IIB and bulky IB and IIA cervical carcinoma. Ten-year treatment results of RTOG 79-20 publication-title: JAMA contributor: fullname: John – volume: 33 start-page: 852 year: 1990 end-page: 862 ident: RF7 article-title: Surgical staging of cervical cancer publication-title: Clin Obstet Gynecol contributor: fullname: Berek – volume: 17 start-page: 979 year: 1989 end-page: 984 ident: RF27 article-title: The role of surgical debulking in cancer of the uterine cervix publication-title: Int J Radiat Oncol Biol Phys contributor: fullname: Twiggs – volume: 18 start-page: 34 year: 1965 end-page: 40 ident: RF30 article-title: Patterns of spread of invasive cancer of the human cervix publication-title: Cancer contributor: fullname: Murphy – volume: 35 start-page: 314 year: 1989 end-page: 320 ident: RF2 article-title: A prospective surgical pathological study of stage I squamous carcinoma of the cervix: a Gynecologic Oncology Group study publication-title: Gynecol Oncol contributor: fullname: Zaino – volume: 340 start-page: 1144 year: 1999 end-page: 1153 ident: RF40 article-title: Concurrent cisplatin-based radiotherapy and chemotherapy for locally advanced cervical cancer publication-title: N Engl J Med contributor: fullname: Insalaco – volume: 7 start-page: 245 year: 1984 end-page: 251 ident: RF26 article-title: The impact of extraperitoneal surgical staging on morbidity and tumor recurrence following radiotherapy for cervical carcinoma publication-title: Am J Clin Oncol contributor: fullname: Adcock – volume: 88 start-page: 854 year: 1964 end-page: 866 ident: RF33 article-title: Complications following radiation therapy in carcinoma of the cervix and their treatment publication-title: Am J Obstet Gynecol contributor: fullname: Kottmeier – volume: 33 start-page: 283 year: 1989 end-page: 289 ident: RF23 article-title: Extraperitoneal versus transperitoneal selective paraaortic lymphadenectomy in the pretreatment surgical staging of advanced cervical carcinoma (a Gynecologic Oncology Group study) publication-title: Gynecol Oncol contributor: fullname: Thigpen – volume: 74 start-page: 436 year: 1999 end-page: 442 ident: RF35 article-title: Impact of surgical staging in women with locally advanced cervical cancer publication-title: Gynecol Oncol contributor: fullname: Greer – volume: 17 start-page: 979 year: 1989 ident: 10.1006/gyno.2001.6528_RF27 article-title: The role of surgical debulking in cancer of the uterine cervix publication-title: Int J Radiat Oncol Biol Phys doi: 10.1016/0360-3016(89)90145-4 contributor: fullname: Potish – volume: 21 start-page: 43 year: 1996 ident: 10.1006/gyno.2001.6528_RF5 article-title: What is the appropriate management of early stage cervical cancer (International Federation of Gynecology and Obstetrics Stages I and IIA), surgical assessment of lymph nodes, and role of therapeutic resection of lymph nodes involved with cancer? publication-title: Monogr Natl Cancer Inst contributor: fullname: Moore – volume: 128 start-page: 336 year: 1977 ident: 10.1006/gyno.2001.6528_RF11 article-title: Incidence, significance, and follow-up of para-aortic lymph node metastases in late invasive carcinoma of the cervix publication-title: Am J Obstet Gynecol doi: 10.1016/0002-9378(77)90633-0 contributor: fullname: Nelson – volume: 82 start-page: 2241 year: 1998 ident: 10.1006/gyno.2001.6528_RF36 article-title: Pretreatment surgical staging of patients with cervical carcinoma: the case for lymph node debulking publication-title: Cancer doi: 10.1002/(SICI)1097-0142(19980601)82:11<2241::AID-CNCR20>3.0.CO;2-T contributor: fullname: Cosin – volume: 340 start-page: 1137 year: 1999 ident: 10.1006/gyno.2001.6528_RF41 article-title: Pelvic radiation with concurrent chemotherapy compared with pelvic and para-aortic radiation for high-risk cervical cancer publication-title: N Engl J Med doi: 10.1056/NEJM199904153401501 contributor: fullname: Morris – volume: 54 start-page: 2215 year: 1984 ident: 10.1006/gyno.2001.6528_RF6 article-title: The value of complete lymphadenectomy in radical treatment of cancer of the cervix, stage Ib publication-title: Cancer doi: 10.1002/1097-0142(19841115)54:10<2215::AID-CNCR2820541024>3.0.CO;2-H contributor: fullname: Kjorstad – volume: 61 start-page: 221 year: 1996 ident: 10.1006/gyno.2001.6528_RF28 article-title: Final results of a phase II chemoradiation protocol for locally advanced cervical cancer: RTOG 85-15 publication-title: Gynecol Oncol doi: 10.1006/gyno.1996.0129 contributor: fullname: John – volume: 340 start-page: 1154 year: 1999 ident: 10.1006/gyno.2001.6528_RF39 article-title: Cisplatin, radiation, and adjuvant hysterectomy compared with radiation and adjuvant hysterectomy for bulky stage IB cervical carcinoma publication-title: N Engl J Med doi: 10.1056/NEJM199904153401503 contributor: fullname: Keys – volume: 35 start-page: 130 year: 1989 ident: 10.1006/gyno.2001.6528_RF3 article-title: Identification of prognostic factors and risk groups in patients found to have nodal metastasis at the time of radical hysterectomy for early-stage squamous carcinoma of the cervix publication-title: Gynecol Oncol doi: 10.1016/0090-8258(89)90029-2 contributor: fullname: Alvarez – volume: 74 start-page: 436 year: 1999 ident: 10.1006/gyno.2001.6528_RF35 article-title: Impact of surgical staging in women with locally advanced cervical cancer publication-title: Gynecol Oncol doi: 10.1006/gyno.1999.5472 contributor: fullname: Goff – volume: 110 start-page: 973 year: 1971 ident: 10.1006/gyno.2001.6528_RF12 article-title: The staging of cervical cancer: inevitable discrepancies between clinical staging and pathologic findings publication-title: Am J Obstet Gynecol doi: 10.1016/0002-9378(71)90551-5 contributor: fullname: Van Nagel – volume: 67 start-page: 203 year: 1997 ident: 10.1006/gyno.2001.6528_RF10 article-title: Extended field radiation and cisplatin for stage IIB and IIIB cervical carcinoma publication-title: Gynecol Oncol doi: 10.1006/gyno.1997.4865 contributor: fullname: Malfetano – volume: 50 start-page: 658 year: 1977 ident: 10.1006/gyno.2001.6528_RF24 article-title: The operative evaluation of patients with cervical carcinoma by an extraperitoneal approach publication-title: Obstet Gynecol contributor: fullname: Berman – volume: 78 start-page: 155 year: 1999 ident: 10.1006/gyno.2001.6528_RF15 article-title: Diagnostic efficacy of the preoperative lymphoscintigraphy, Ga-67 scintigraphy and computed tomography for detection of lymph node metastasis in cases with ovarian or endometrial carcinoma publication-title: Acta Obstet Gynecol Scand doi: 10.1080/j.1600-0412.1999.780215.x contributor: fullname: Ozalp – volume: 154 start-page: 229 year: 2000 ident: 10.1006/gyno.2001.6528_RF29 article-title: Chemoradiation for carcinoma of the cervix: advances and opportunities publication-title: Radiat Res doi: 10.1667/0033-7587(2000)154[0229:CFCOTC]2.0.CO;2 contributor: fullname: Eifel – start-page: 31 year: 1996 ident: 10.1006/gyno.2001.6528_RF22 article-title: Extraperitoneal approaches to lymphadenectomy contributor: fullname: Coleman – volume: 79 start-page: 399 year: 2000 ident: 10.1006/gyno.2001.6528_RF8 article-title: Survival following extended field irradiation in carcinoma of cervix metastatic to para-aortic lymph nodes publication-title: Gynecol Oncol doi: 10.1006/gyno.2000.5977 contributor: fullname: Stryker – volume: 340 start-page: 1144 year: 1999 ident: 10.1006/gyno.2001.6528_RF40 article-title: Concurrent cisplatin-based radiotherapy and chemotherapy for locally advanced cervical cancer publication-title: N Engl J Med doi: 10.1056/NEJM199904153401502 contributor: fullname: Rose – year: 1971 ident: 10.1006/gyno.2001.6528_RF1 article-title: Clinical significance of cervical lymphatics contributor: fullname: Plentl – volume: 86 start-page: 43 year: 1995 ident: 10.1006/gyno.2001.6528_RF17 article-title: Cervical carcinoma: computed tomography and magnetic resonance imaging for preoperative staging publication-title: Obstet Gynecol doi: 10.1016/0029-7844(95)00109-5 contributor: fullname: Subak – volume: 49 start-page: 333 year: 1977 ident: 10.1006/gyno.2001.6528_RF20 article-title: Preirradiation celiotomy and extended field irradiation for invasive carcinoma of the cervix publication-title: Obstet Gynecol contributor: fullname: Wharton – volume: 278 start-page: 1096 year: 1997 ident: 10.1006/gyno.2001.6528_RF18 article-title: Radiological evaluation of lymph node metastases in patients with cervical cancer publication-title: A meta-analysis. JAMA contributor: fullname: Scheidler – volume: 5 start-page: 250 year: 1995 ident: 10.1006/gyno.2001.6528_RF37 article-title: Resection of bulky positive lymph nodes in patients with cervical carcinoma publication-title: Int J Gynecol Cancer doi: 10.1046/j.1525-1438.1995.05040250.x contributor: fullname: Hacker – volume: 35 start-page: 314 year: 1989 ident: 10.1006/gyno.2001.6528_RF2 article-title: A prospective surgical pathological study of stage I squamous carcinoma of the cervix: a Gynecologic Oncology Group study publication-title: Gynecol Oncol doi: 10.1016/0090-8258(89)90070-X contributor: fullname: Delgado – volume: 33 start-page: 283 year: 1989 ident: 10.1006/gyno.2001.6528_RF23 article-title: Extraperitoneal versus transperitoneal selective paraaortic lymphadenectomy in the pretreatment surgical staging of advanced cervical carcinoma (a Gynecologic Oncology Group study) publication-title: Gynecol Oncol doi: 10.1016/0090-8258(89)90513-1 contributor: fullname: Weiser – volume: 88 start-page: 854 year: 1964 ident: 10.1006/gyno.2001.6528_RF33 article-title: Complications following radiation therapy in carcinoma of the cervix and their treatment publication-title: Am J Obstet Gynecol doi: 10.1016/0002-9378(64)90733-1 contributor: fullname: Kottmeier – year: 1996 ident: 10.1006/gyno.2001.6528_RF34 article-title: Surgery for cervical neoplasia contributor: fullname: Morrow – volume: 15 start-page: 1 year: 1983 ident: 10.1006/gyno.2001.6528_RF38 article-title: The morbidity and utility of periaortic radiotherapy in cervical carcinoma publication-title: Gynecol Oncol doi: 10.1016/0090-8258(83)90110-5 contributor: fullname: Potish – volume: 274 start-page: 387 year: 1995 ident: 10.1006/gyno.2001.6528_RF31 article-title: Prophylactic extended-field irradiation of para-aortic lymph nodes in stages IIB and bulky IB and IIA cervical carcinoma. Ten-year treatment results of RTOG 79-20 publication-title: JAMA doi: 10.1001/jama.1995.03530050035029 contributor: fullname: Rotman – volume: 7 start-page: 245 year: 1984 ident: 10.1006/gyno.2001.6528_RF26 article-title: The impact of extraperitoneal surgical staging on morbidity and tumor recurrence following radiotherapy for cervical carcinoma publication-title: Am J Clin Oncol doi: 10.1097/00000421-198406000-00009 contributor: fullname: Potish – volume: 175 start-page: 759 year: 2000 ident: 10.1006/gyno.2001.6528_RF14 article-title: Comparison of dynamic helical CT and dynamic MR imaging in the evaluation of pelvic lymph nodes in cervical carcinoma publication-title: AJR Am J Roentgenol doi: 10.2214/ajr.175.3.1750759 contributor: fullname: Yang – volume: 33 start-page: 843 year: 1995 ident: 10.1006/gyno.2001.6528_RF4 article-title: Prognostic value of cervical size and pelvic lymph node status assessed by computed tomography for patients with uterine cervical cancer treated by radical radiation therapy publication-title: Int J Radiat Oncol Biol Phys doi: 10.1016/0360-3016(95)00204-5 contributor: fullname: Toita – volume: 37 start-page: 3 year: 1997 ident: 10.1006/gyno.2001.6528_RF32 article-title: Late GI and GU complications in the treatment of prostate cancer publication-title: Int J Radiat Oncol Biol Phys doi: 10.1016/S0360-3016(96)00468-3 contributor: fullname: Schultheiss – volume: 174 start-page: 1141 year: 1996 ident: 10.1006/gyno.2001.6528_RF9 article-title: Expanded pelvic radiotherapy fields for treatment of local-regionally advanced carcinoma of the cervix: outcome and complications publication-title: Am J Obstet Gynecol doi: 10.1016/S0002-9378(96)70656-7 contributor: fullname: Greer – volume: 14 start-page: 1 year: 1996 ident: 10.1006/gyno.2001.6528_RF19 publication-title: NIH Consensus Statement. – volume: 69 start-page: 27 year: 2000 ident: 10.1006/gyno.2001.6528_RF21 article-title: Extraperitoneal pelvic lymphadenectomy to complement vaginal operations for cervical and endometrial cancer publication-title: Int J Gynaecol Obstet doi: 10.1016/S0020-7292(99)00227-1 contributor: fullname: Massi – volume: 38 start-page: 425 year: 1990 ident: 10.1006/gyno.2001.6528_RF13 article-title: Clinical-pathologic study of stage IIB, III, and IVA carcinoma of the cervix: extended diagnostic evaluation for paraaortic node metastasis—a Gynecologic Oncology Group study publication-title: Gynecol Oncol doi: 10.1016/0090-8258(90)90085-Y contributor: fullname: Heller – volume: 19 start-page: 8 year: 1984 ident: 10.1006/gyno.2001.6528_RF25 article-title: Survival and patterns in cervical cancer metastatic to periaortic lymph nodes: a Gynecologic Oncology Group study publication-title: Gynecol Oncol doi: 10.1016/0090-8258(84)90151-3 contributor: fullname: Berman – volume: 33 start-page: 852 year: 1990 ident: 10.1006/gyno.2001.6528_RF7 article-title: Surgical staging of cervical cancer publication-title: Clin Obstet Gynecol doi: 10.1097/00003081-199012000-00021 contributor: fullname: Heaps – volume: 122 start-page: 82 year: 2000 ident: 10.1006/gyno.2001.6528_RF16 article-title: Pre-operative staging of cervical cancer: comparison of magnetic resonance imaging (MRI) and computed tomography (CT) with histologic results publication-title: Zentralbl Gynakol contributor: fullname: Oellinger – volume: 18 start-page: 34 year: 1965 ident: 10.1006/gyno.2001.6528_RF30 article-title: Patterns of spread of invasive cancer of the human cervix publication-title: Cancer doi: 10.1002/1097-0142(196501)18:1<34::AID-CNCR2820180107>3.0.CO;2-L contributor: fullname: Beyer |
SSID | ssj0003012 |
Score | 1.8877276 |
Snippet | Objective. The presence of nodal metastases is the most important prognostic factor in cervical cancer. To adjust our therapy based on the true extent of the... The presence of nodal metastases is the most important prognostic factor in cervical cancer. To adjust our therapy based on the true extent of the patient's... |
SourceID | crossref pubmed pascalfrancis elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 321 |
SubjectTerms | Adult Biological and medical sciences cervical cancer Combined Modality Therapy extended field extraperitoneal lymph node dissection Female Humans Hysterectomy Lymph Node Excision - adverse effects Lymph Node Excision - methods lymph nodes Lymph Nodes - pathology Lymph Nodes - surgery Medical sciences Middle Aged Neoplasm Staging radiotherapy Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Time Factors toxicity Uterine Cervical Neoplasms - drug therapy Uterine Cervical Neoplasms - radiotherapy Uterine Cervical Neoplasms - surgery |
Title | Evaluation of Patients after Extraperitoneal Lymph Node Dissection and Subsequent Radiotherapy for Cervical Cancer |
URI | https://dx.doi.org/10.1006/gyno.2001.6528 https://www.ncbi.nlm.nih.gov/pubmed/11812094 |
Volume | 84 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LSwMxEB6qBRFEfFsfJQfB09rsI_s4Sq1Uq0VEsbclm2Sll1rqCvbib3cm2SoKXjwt7JJkmQwzXx7fNwAnBS6NVSYzr1REyQloo0lH3CtUVEjMEEUSEXf4dhj3H6PrkRg1oLvgwtC1yjr2u5huo3X9plNbszMdj4njS-W6RWpF8YJ0tARNTEd0Vts8vxr0h18BGX3YiYZb1rRIF9qNPO48zyeWAeifURd_5aa1qXxFi5Wu1MUvAGoT0eUGrNcIkp27n9yEhplswcptfUa-DbPel4A3eynZnRNOfWW2GjjrvVfEt5qNSYQbu7mZ43Sy4Ys27IKO5i3NgcmJZhRS7D3rit1LPa6ZWnOGKJd1bYTB5l1ymtkOPF72Hrp9r66s4Kkw4ZWHsMRwGZuyyFJtAhWKAqFdaWh3g5elkVIJUWgRJqEiOZdEaROmimeBNIYrHu7C8gR_cx9YkPhRoGJpEMhFSZTJJDPYldIy06XQQQtOFzbNp05AI3dSyXFO1qc6mH5O1m-BvzB5_sMFcozuf7Zp_5ib7yFC0qnhogV7brK-vxCmwUXtwT-GO4RVBEyRu8x3BMvV7M0cIyipijYsnX347dr16Dm4fxp8Avq15Ek |
link.rule.ids | 314,780,784,4502,24116,27924,27925,45585,45679 |
linkProvider | Elsevier |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LS8NAEB6qggoivq2PugfBU-w2yeZxlFpptS0iCr2Fze5GemlLG8H-e2c2aaVCL14T9sHMMPvt4_sG4DbFrbGKZexkiig5Lh00aZ87qfJTiStEGvrEHe71g_aH_zwQgwo0F1wYelZZ5v4ip9tsXX6pl9asT4ZD4vhSuW4RWVE8NxpswBaigRBDe-uh89LuLxMyxnAhGm5Z0yJaaDfyoP45H1kGYOOeuli3Nu1N5AwtlhWlLv4AULsQPR3Afokg2UMxyUOomNERbPfKO_JjmLaWAt5snLHXQjh1xmw1cNb6zolvNR2SCDd2052jO1l_rA17pKt5S3NgcqQZpRT7zjpnb1IPS6bWnCHKZU2bYbB5k4JmegIfT633ZtspKys4ygt57iAsMVwGJkvjSBtXeSJFaJcZOt3gWWakVEKkWnihp0jOJVTaeJHisSuN4Yp7p7A5wmmeA3PDhu-qQBoEcn7oxzKMDXaltIx1JrRbhbuFTZNJIaCRFFLJQULWpzqYjYSsX4XGwuTJSggkmN3Xtqmt-OZ3CI90ariowlnhrN8_hGlwU3vxj-FuYKf93usm3U7_5RJ2bWUY-4L7Cjbz6Ze5RoCSp7UyAH8AdBvkoQ |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Evaluation+of+Patients+after+Extraperitoneal+Lymph+Node+Dissection+and+Subsequent+Radiotherapy+for+Cervical+Cancer&rft.jtitle=Gynecologic+oncology&rft.au=Hasenburg%2C+Annette&rft.au=Salama%2C+Joseph+K.&rft.au=Van%2C+T.John&rft.au=Amosson%2C+Chad&rft.date=2002-02-01&rft.pub=Elsevier+Inc&rft.issn=0090-8258&rft.eissn=1095-6859&rft.volume=84&rft.issue=2&rft.spage=321&rft.epage=326&rft_id=info:doi/10.1006%2Fgyno.2001.6528&rft.externalDocID=S009082580196528X |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0090-8258&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0090-8258&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0090-8258&client=summon |