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refl ect the extent of peri toneal disease). But above all, an issue not mentioned in CORRESPONDENCE Re: Systematic Aortic and the article by Benedetti Panici et al. is the Pelvic Lymphadenectomy impact on survival of lymphadenectomy in Versus Resection of Bulky the subgroup of patients in whom this pro- Nodes in Optimally Debulked cedure may perhaps be the most useful, Advanced Ovarian Cancer: A i.e., the group of 159 patients who under- Rand omized Clinical Trial went com plete surgical resection. Chambers underlined the higher rate of complications in the lymphadenec- We read with great interest the article tomy arm. The surgical procedure was by Benedetti Panici et al. ( 1 ) on the longer; however, the number of intra- results of systematic lymphadenectomy operative com plications was similar in in advanced-stage ovarian cancer. We the two arms. The rates of blood loss and also read the editorial about this trial by transfusion were higher in the lym- Chambers ( 2 ) , but we do not totally agree phadenectomy arm. However, these in- with her conclusions. creases were related to the use of an This trial confi rms the high rate of additional procedure and should not
JNCI: Journal of the National Cancer Institute – Oxford University Press
Published: Nov 2, 2005
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