Para-aortal lymph nodes dissection in 20 cases of primary epithelial ovary carcinoma stage I (Figo): Influence on staging

In this study 20 cases of primary epithelial ovary carcinoma stage I (Figo) were presented.In 5 cases (25%) para-aortic lymph nodes were positive, because of which their stage changed into Stage III. This shows that for correct staging of ovary carcinoma stage I, extirpation of the para-aortal glands is obligatory. It was observed that tumors on the external surface of the ovary and tumor cells in the peritoneum fluid were not related to positive para-aortal glands. The para-aortic metastases were found in the tumors with a histologic grading according to Broders' classification III and IV.