Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Surgical Oncology
- Obstetrics Surgery
- Urology
- General Surgery
- Oral and Maxillofacial Surgery
- Vascular Surgery
- Colon and Rectal Surgery
- Transplant Surgery
Abstract
Citation: Clin Surg. 2019;4(1):2307.Case Series | Open Access
Two Cases Dysgerminoma with Micrometastasis in Lymph Nodes
Victor E Valdespino, Yazzmin Ballesteros Montenegro, Maricruz Rivera Hernandjez, German Maytorena Cordova, Juan Landa Mejia and Victor Valdespino Gomez
Department of Oncology and Gynecology, "Luis Castelazo Ayala" Mexico City, Mexico
Department of Pathology, "Luis Castelazo Ayala" Mexico City, Mexico
Department of Oncology, "Luis Castelazo Ayala" Mexico City, Mexico
*Correspondance to: Victor E. Valdespino
PDF Full Text DOI: 10.25107/2474-1647.2307
Abstract
We reported 2 cases of micrometastasis in dysgerminoma; specify incidence of micrometastasis is unknown. Many times when micrometastasis is reported, the variability is constant; those are reported in nodal sentinel dissection, or systematic lymphadenectomy, or with immunohistochemistry. We use the definition of micrometastasis agree with AJCC (American Joint Committee on Cancer). We show 2 patients with retroperitoneal nodal micrometastasis and dysgerminoma; omentectomy, cytology, was performed and this resulted negative to metastasis. They received chemotherapy (4 times BEP) with good tolerance; both are alive without symptoms. We encourage sparing surgery for endocrinal and reproductive function always. Nowadays micrometastasis is an advice to adjuvant treatment, but maybe with more reports, we can improve ower medical care, perhaps target therapy, vigilance or use a low dose of chemotherapy. We need more reports on this subject. Ower oncology gynecology group stimulate systematic pelvic and paraaortic lymphadenectomy or sentinel node dissection in dysgerminoma. With all prognostic factors we can tailor adjuvant treatment in germinative tumors. In the future maybe lymph node ratio, or new classification on nodal metastasis by FIGO (International Federation of Gynecology and Obstetrics) or AJCC, could improve ower knowledge on the biological behavior of micrometastasis.
Keywords
Micrometastais; Dysgerminoma; Nodal retroperitoneal metastasis
Cite the article
Valdespino VE, Montenegro YB, Hernandjez MR, Cordova GM, Mejia JL, Gomez VV. Two Cases Dysgerminoma with Micrometastasis in Lymph Nodes. Clin Surg. 2019; 4: 2307.