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Pelvic paraaortal lymph node dissection/sampling

General

In a pelvic/paraaortal lymph node dissection, the lymph nodes in the pelvis and along the aorta and vena cava are completely removed. This is done to diagnose microscopic spreading of tumor cells. 

In pelvic/paraaortal lymph node sampling, the pelvic lymph nodes and paraaortal lymph nodes are examined for microscopic spreading. Visible lymph nodes are removed, but not all the lymphatic tissue. 

Dissection/staging of pelvic/paraaortal lymph nodes is performed as a separate surgical procedure, or combined with a larger procedure (for example radical ovarian surgery). When the procedure is carried out separately, it is performed as conventional laparascopic or robot-assisted surgery. A pelvic lymph node dissection is always performed for cervical cancer, for ovarian and uterine cancer. 

Indications

  • Cervical cancer
  • Uterine cancer 
  • Ovarian cancer 
  • Fallopian tube cancer

Goal

  • Diagnose microscopic tumor spreading

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