Recurrent cervical cancer: symptoms at diagnosis are related to a worse prognosis?

The aim of this study was to evaluate the clinical features and prognostic implications of patients with recurrent cervical cancer. By reviewing the medical records we evaluated all patients with cervical cancer at stages IA to IVA who started treatment at a specialized hospital in the Southeast reg...

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Veröffentlicht in:Revista Brasileira de ginecologia e obstetrícia 2014-12, Vol.36 (12), p.569-574
Hauptverfasser: Simonsen, Marcelo, Pereira, Tangryane, Webber, Rodrigo José, Tsunoda, Audrey Tieko, dos Reis, Ricardo, Fregnani, José Humberto Guerreiro
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container_issue 12
container_start_page 569
container_title Revista Brasileira de ginecologia e obstetrícia
container_volume 36
creator Simonsen, Marcelo
Pereira, Tangryane
Webber, Rodrigo José
Tsunoda, Audrey Tieko
dos Reis, Ricardo
Fregnani, José Humberto Guerreiro
description The aim of this study was to evaluate the clinical features and prognostic implications of patients with recurrent cervical cancer. By reviewing the medical records we evaluated all patients with cervical cancer at stages IA to IVA who started treatment at a specialized hospital in the Southeast region of Brazil from 2007 to 2009. Recurrence episodes were categorized according to location of disease and information was collected regarding the type of treatment and survival of these patients. The sample was characterized by descriptive statistics and association analyses were performed using Fisher's exact test. Fifty cases of recurrence were identified among 469 selected records, with 31 patients being symptomatic at diagnosis of recurrence (62%); and 19 being asymptomatic (38%). Among women with symptoms, eight requested anticipation of the previously scheduled appointment because of the presence of clinical complaints. Patients with symptoms at the diagnosis of recurrence had lower rates of overall two-year survival (39.4 versus 67.6%) (p=0.081). None of the patients with recurrence at distance received curative intent treatment, but all received surgical treatment or radiotherapy aiming at full remission of the disease. Women who requested anticipation of the appointment because of the presence of symptoms had a significant reduction of overall two-year survival after recurrence (0 versus 60.4%; p
doi_str_mv 10.1590/SO100-720320140005068
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None of the patients with recurrence at distance received curative intent treatment, but all received surgical treatment or radiotherapy aiming at full remission of the disease. Women who requested anticipation of the appointment because of the presence of symptoms had a significant reduction of overall two-year survival after recurrence (0 versus 60.4%; p&lt;0.001) compared to those who attended the consultation on the scheduled date, and none of them received curative intent treatment. As expected, the patients who underwent palliative treatment with the main objective of improving quality of life and increasing survival but with no perspective of cure had a significant reduction in overall survival compared to those who were treated with curative intent (76.7 versus 35.4%; p&lt;0.001). 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source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals
subjects Cohort Studies
Female
Humans
Longitudinal Studies
Neoplasm Recurrence, Local - diagnosis
Neoplasm Recurrence, Local - mortality
Prognosis
Retrospective Studies
Survival Rate
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - mortality
title Recurrent cervical cancer: symptoms at diagnosis are related to a worse prognosis?
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