Outcomes of pancreatic adenocarcinoma that was not resected because of isolated para-aortic lymph node involvement - 16/05/19
, J. Ewald a, M. Gilabert b, J.-R. Delpero a, O. Turrini aBienvenue sur EM-consulte, la référence des professionnels de santé.
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Summary |
Purpose |
Survival appears to be poor in cases of pancreatic ductal adenocarcinoma (PDAC) with para-aortic lymph node involvement (PALN+). However, resection is still performed in these cases because the prognostic impact of PALN+remains controversial.
Methods |
PALN+was intraoperatively found in 14 patients (4.8%) with resectable PDAC who consequently did not undergo pancreatectomy.
Results |
The median overall survival time after laparotomy was 21 months. The 1- and 3-year overall survival rates were 58.3% and 25%, respectively.
Conclusions |
We support the advisability of reconsidering pancreatectomy in patients with intraoperatively detected PALN+because the reported survival of such patients who undergo pancreatectomy is poorer than the survival observed for patients in our series.
Le texte complet de cet article est disponible en PDF.Keywords : Para-aortic lymph node, Station 16 lymph node, Pancreatic adenocarcinoma, Borderline Tumour
Plan
Vol 156 - N° 2
P. 97-101 - avril 2019 Retour au numéro
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