ENDOMETRİUM KANSERİ CERRAHİSİNDE ASPİRATÖR SIVISI İÇERİĞİNDE LENF NODU ARAŞTIRILMASI

Abstract

Amaç: Lenfadenektomi esnasında kullanılan aspirator içeriğinde lenf nodu olup olmadığının araştırılması amaçlanmıştır. Materyal ve Metod: Histerektomiye ek olarak pelvik ve paraaortik lenfadenektomi yapılan 83 endometrium kanseri çalışmaya dahil edildi. Hastaların operasyonu esnasında kullanılan aspirator içeriğinde lenf nodu olup olmadığı araştırıldı. Sonuçları değerlendirmek için tanımlayıcı istatistik kullanıldı ve elde edilen değerler ortalama ± SD ve yüzde olarak sunuldu. Bulgular: Hastaların %89.2’si endometrioid tip adenokanser iken, %10.8’i seröz veya berrak hücreli kanser idi. Ortalama çıkartılan lenf nodu sayısı 68.8±21.1’di, para-aortik bölgeden ortalama 34.1±16.6 ve pelvik bölgeden ortalama 35.3±11.7 lenf nodu çıkarıldı. Olguların %7.2’inde pelvik lenf nodu metastazı ve %8.4’inde paraaortik lenf nodu metastazı saptandı. Hastaların 5 tanesinde (%6) süzülen aspiratör içeriğinde lenf nodu saptandı, bu lenf nodlarının hiçbirisi metastatik değildi. Sonuç: Aspiratör içeriğinin süzülerek elde edilen materyalin patolojiye gönderilmesi daha fazla lenf nodu değerlendirilmesine olanak sağlayabilir

Keywords

• Endometrium kanseri, lenfadenektomi, aspirator

ANALYSIS OF THE ASPIRATOR LIQUID CONTENT FOR LYMPH NODES IN ENDOMETRİAL CANCER SURGERY

Abstract

Aim: To investigate whether there is lymph node or not in fluid content of aspirator which is used during lymphadenectomy. Material and Method: 83 endometrial cancer patient which treated with hysterectomy plus pelvic and para-aortic lymphadenectomy were included to study. The aspirator-irrigator fluid content has investigated whether there is lymph node or not. Descriptive statistics were used to evaluate and results presented as mean ±SD and percentage. Results: 89.2% of the patients were endometrioid type adenocarcinoma, whereas 10.8% were serous or clear cell carcinoma. Averaged 68.8±21.1 lymph nodes were removed totally, averaged34 ±16.6 para-aortic lymph nodes and 35.3±11.7 pelvic lymph nodes were removed. 7.2% pelvic and 8.4% para-aortic lymph node metastasis were detected. In 5 of all patients (6%), there were lymph node in filtered aspirator liquid content, none of these lymph nodes were metastatic. Conclusion: Sending the material obtained by filtration of the aspirator fluid content to pathology, can provide an opportunity for the assesment more lymph node.

Keywords

• Endometrial cancer, lymphadenectomy, aspirator

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