Analysis of the condition of the pelvic and paraaortic lymph nodes in patients with oncogynecological diseases

An analysis of the condition of the pelvic and paraaortic lymph nodes (LV) was made in 179 patients with onco gynecological diseases, operated during the period 01.01.2017-31.12. 2017 at the Clinic of Gynecology of the Hospital. With cervical cancer, 61 patients with endometrial cancer are 85 patients, 3 patients with uterine sarcoma, 26 with cancer of the ovary, and 4 with cancer of the uterine tube. For cervical cancer, those in the 40-49 age group predominate - 36%, endometrial cancer 60-69 years - 42%, uterine sarcoma 50-59 years - 66%, ovarian cancer 50-59 years - 34%, and in the case of cancer of the uterine tube are distributed evenly. 42% of patients with cervical cancer are in stage II, 76% of endometrial cancer are in stage I, all patients with uterine sarcoma are at I stage, 58% have ovarian cancer in stage III, and 50% with cancer of the uterine tube are in stage II. Tissue lymph dissection was performed in 164 patients, pelvic and paraaortic - at 14, but only paraaortic - in 1 patient. A total of 1837 leva has been removed. The mean rate of removal in cervical cancer was 10.4, endometrial cancer was 10.9, uterine sarcoma -11.3, ovarian cancer was 7.7, and tube cancer 8.3. The metastasis is 511 lb (28%) and without metastasis is 1326 lv (72%). The results obtained by us show that the cervical cancer patients have the highest percentage of metastasis (33.8%), followed by ovarian cancer (30.5%), uterine sarcoma (29.4% ) and endometrial cancer (23.4%). Post-operative adjuvant therapy (radiotherapy and / or chemotherapy) was consistent with the condition of the lymph nodes and the stage of the disease. The results obtained by us show that the status of the lymph nodes in patients with oncogenic diseases is leading to the staging and determination of adjuvant therapy.