✦ LIBER ✦

Carcinoma of the ampulla of Vater: Is radical lymphadenectomy beneficial to patients with nodal disease?

✍ Scribed by Shirai, Yoshio; Tsukada, Kazuhiro; Ohtani, Tetsuya; Hatakeyama, Katsuyoshi

Publisher: John Wiley and Sons
Year: 1996
Tongue: English
Weight: 386 KB
Volume: 61
Category: Article
ISSN: 0022-4790
DOI: 10.1002/(sici)1096-9098(199603)61:3<190::aid-jso5>3.0.co;2-6

No coin nor oath required. For personal study only.

✦ Synopsis

This study was undertaken to evaluate the effectiveness of radical lymphadenectomy in ampullary cancer with nodal disease. Thirty-five patients underwent the Whipple procedure with radical lymphadenectomy. The location and number of positive nodes was characterized. Eighteen patients (51%) had positive nodes. Patients without nodal disease (pNO group) had an actuarial 5-year survival rate of 81%. Seven patients with metastasis confined to the pancreaticoduodenal nodes had a 5-year survival rate of 67%, which was comparable to the pNO group (N.S.) and better than the 27% 5-year survival rate in patients with positive superior mesenteric nodes (P < 0.05). Eleven patients with one to three positive nodes had a 5-year survival rate of 71%, which was also comparable to the pNO group (N.S.) and better than the 0% 5-year survival rate in patients with four or more positive nodes ( P < 0.01). Radical lymphadenectomy is effective against a limited degree of nodal disease.

📜 SIMILAR VOLUMES

Is radical trachelectomy a safe alternat

Is radical trachelectomy a safe alternative to radical hysterectomy for patients with Stage IA–B carcinoma of the cervix?

✍ Allan Covens; Patricia Shaw; Joan Murphy; Denny DePetrillo; Gordon Lickrish; Ste 📂 Article 📅 1999 🏛 John Wiley and Sons 🌐 English ⚖ 83 KB 👁 2 views

The prognosis associated with lymph node negative, early stage carcinoma of the cervix is excellent, with 5-year survival rates greater than 90%. Radical trachelectomy in combination with pelvic lymph node dissection (RVT ϩ LPL) has emerged as an alternative to radical hysterectomy (RH) for these p

Is it justified to avoid radical cystopr

Is it justified to avoid radical cystoprostatectomy in elderly patients with invasive transitional cell carcinoma of the bladder?

✍ Ilan Leibovitch; Itamar Avigad; Jacob Ben-Chaim; Ofer Nativ; Benad Goldwasser 📂 Article 📅 1993 🏛 John Wiley and Sons 🌐 English ⚖ 445 KB 👁 2 views

Do the level of nodal disease according

Do the level of nodal disease according to the TNM classification and the number of involved cervical nodes reflect prognosis in patients with differentiated carcinoma of the thyroid gland?

✍ Sato, Nobuaki; Oyamatsu, Manabu; Koyama, Yu; Emura, Iwao; Tamiya, Yoichi; Hatake 📂 Article 📅 1998 🏛 John Wiley and Sons 🌐 English ⚖ 74 KB 👁 2 views

Background and Objectives: The importance of nodal involvement as a prognostic factor in differentiated carcinoma of the thyroid gland remains controversial. We therefore attempted to confirm the prognostic factors in differentiated thyroid carcinoma, with special reference to nodal status. Patients