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Radical parametrectomy after 'cut-through' hysterectomy in low-risk early-stage cervical cancer: Time to consider this procedure obsolete
- Source :
- Gynecologic oncology. 149(3)
- Publication Year :
- 2017
-
Abstract
- Objective The goal of this study is to identify predictive factors in patients with a diagnosis of early-stage cervical cancer after simple hysterectomy in order to avoid a radical parametrectomy. Methods A retrospective review was performed of all patients who underwent radical parametrectomy and bilateral pelvic lymphadenectomy at MD Anderson Cancer Center and at the Instituto de Cancerologia Las Americas in Medellin, Colombia from December 1999 to September 2017. We sought to determine the outcomes in patients diagnosed with low-risk factors (squamous, adenocarcinoma or adenosquamous lesions Results A total of 30 patients were included in the study. The median age was 40.4years (range; 26–60) and median body mass index (BMI) was 26.4kg/m 2 (range; 17.7–40.0). A total 22 patients had tumors Conclusion Radical parametrectomy may be avoided in patients with low-risk early-stage cervical cancer detected after a simple hysterectomy. Rates of residual disease (parametrial or vaginal) and the need for adjuvant treatments or recurrences are very low.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Uterine Cervical Neoplasms
Hysterectomy
03 medical and health sciences
0302 clinical medicine
Gynecologic Surgical Procedures
Risk Factors
medicine
Humans
Stage (cooking)
Neoplasm Staging
Retrospective Studies
Cervical cancer
030219 obstetrics & reproductive medicine
business.industry
Parametrial
Obstetrics and Gynecology
Cancer
Retrospective cohort study
Middle Aged
medicine.disease
Surgery
Oncology
030220 oncology & carcinogenesis
Lymphatic Metastasis
Adenocarcinoma
Median body
Female
business
Subjects
Details
- ISSN :
- 10956859
- Volume :
- 149
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Gynecologic oncology
- Accession number :
- edsair.doi.dedup.....c19e2e28cef45aac744f1e952c06a9de