Radical parametrectomy for occult cervical carcinoma detected posthysterectomy
There are no randomized studies of the two therapeutic alternatives (surgery or radiotherapy) for occult cervical carcinoma, and survival rates in the absence of residual cancer seem to be similar for both. This article presents our experience with radical reoperation for occult cervical carcinoma....
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Veröffentlicht in: | Journal of lower genital tract disease 2004-04, Vol.8 (2), p.102-105 |
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container_title | Journal of lower genital tract disease |
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creator | Gori, Jorge R Fritsches, Heriberto G Castanño, Roberto Toziano, Mariano Habich, Diego |
description | There are no randomized studies of the two therapeutic alternatives (surgery or radiotherapy) for occult cervical carcinoma, and survival rates in the absence of residual cancer seem to be similar for both. This article presents our experience with radical reoperation for occult cervical carcinoma.
Eleven patients with occult cervical cancer, primary invasive tumor >/=0.5 cm and |
doi_str_mv | 10.1097/00128360-200404000-00004 |
format | Article |
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Eleven patients with occult cervical cancer, primary invasive tumor >/=0.5 cm and </=3.0 cm, free margins in the hysterectomy specimen, and absence of clinically evident residual tumor were reoperated (radical parametrectomy with partial colpectomy and pelvic lymphadenectomy).
Histopathologic examination after reoperation showed no evidence of residual disease in nine cases and metastasis in lymph nodes in two cases, one of them with parametrial involvement. Survival was 100% among disease-free cases on reoperation and 0% in cases with residual disease (5-year follow-up).
Radical reoperation allows disease staging, sorting of patients into risk groups, and avoidance of radiation therapy in more than two thirds of the cases of occult cervical carcinoma.</description><identifier>ISSN: 1089-2591</identifier><identifier>DOI: 10.1097/00128360-200404000-00004</identifier><identifier>PMID: 15874846</identifier><language>eng</language><publisher>United States</publisher><ispartof>Journal of lower genital tract disease, 2004-04, Vol.8 (2), p.102-105</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c228t-5f0dc7c48cddadd3faaa8536bbefec2af86d6ae3f9c30cd61b691a4376e885913</citedby><cites>FETCH-LOGICAL-c228t-5f0dc7c48cddadd3faaa8536bbefec2af86d6ae3f9c30cd61b691a4376e885913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15874846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gori, Jorge R</creatorcontrib><creatorcontrib>Fritsches, Heriberto G</creatorcontrib><creatorcontrib>Castanño, Roberto</creatorcontrib><creatorcontrib>Toziano, Mariano</creatorcontrib><creatorcontrib>Habich, Diego</creatorcontrib><title>Radical parametrectomy for occult cervical carcinoma detected posthysterectomy</title><title>Journal of lower genital tract disease</title><addtitle>J Low Genit Tract Dis</addtitle><description>There are no randomized studies of the two therapeutic alternatives (surgery or radiotherapy) for occult cervical carcinoma, and survival rates in the absence of residual cancer seem to be similar for both. This article presents our experience with radical reoperation for occult cervical carcinoma.
Eleven patients with occult cervical cancer, primary invasive tumor >/=0.5 cm and </=3.0 cm, free margins in the hysterectomy specimen, and absence of clinically evident residual tumor were reoperated (radical parametrectomy with partial colpectomy and pelvic lymphadenectomy).
Histopathologic examination after reoperation showed no evidence of residual disease in nine cases and metastasis in lymph nodes in two cases, one of them with parametrial involvement. Survival was 100% among disease-free cases on reoperation and 0% in cases with residual disease (5-year follow-up).
Radical reoperation allows disease staging, sorting of patients into risk groups, and avoidance of radiation therapy in more than two thirds of the cases of occult cervical carcinoma.</description><issn>1089-2591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNpFkE1LxDAQhnNQ3HX1L0hP3qr5aNP0KItfsCiInkM6mWCl3dQkFfbfW3erEobA8LwzzENIxugVo3V1TSnjSkiac0qL6VGaT0WLI7JkVNU5L2u2IKcxfkxdXtH6hCxYqapCFXJJnl6MbcF02WCC6TEFhOT7XeZ8yDzA2KUMMHztETAB2q3vTWYxTRzabPAxve9iwjl3Ro6d6SKez_-KvN3dvq4f8s3z_eP6ZpMD5yrlpaMWKigUWGusFc4Yo0ohmwYdAjdOSSsNCleDoGAla2TNTCEqiUpN94gVuTzMHYL_HDEm3bcRsOvMFv0Ytay4muyUE6gOIAQfY0Cnh9D2Juw0o_rHn_71p__86b2_KXox7xibHu1_cJYnvgF6onAL</recordid><startdate>200404</startdate><enddate>200404</enddate><creator>Gori, Jorge R</creator><creator>Fritsches, Heriberto G</creator><creator>Castanño, Roberto</creator><creator>Toziano, Mariano</creator><creator>Habich, Diego</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200404</creationdate><title>Radical parametrectomy for occult cervical carcinoma detected posthysterectomy</title><author>Gori, Jorge R ; Fritsches, Heriberto G ; Castanño, Roberto ; Toziano, Mariano ; Habich, Diego</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c228t-5f0dc7c48cddadd3faaa8536bbefec2af86d6ae3f9c30cd61b691a4376e885913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gori, Jorge R</creatorcontrib><creatorcontrib>Fritsches, Heriberto G</creatorcontrib><creatorcontrib>Castanño, Roberto</creatorcontrib><creatorcontrib>Toziano, Mariano</creatorcontrib><creatorcontrib>Habich, Diego</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of lower genital tract disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gori, Jorge R</au><au>Fritsches, Heriberto G</au><au>Castanño, Roberto</au><au>Toziano, Mariano</au><au>Habich, Diego</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radical parametrectomy for occult cervical carcinoma detected posthysterectomy</atitle><jtitle>Journal of lower genital tract disease</jtitle><addtitle>J Low Genit Tract Dis</addtitle><date>2004-04</date><risdate>2004</risdate><volume>8</volume><issue>2</issue><spage>102</spage><epage>105</epage><pages>102-105</pages><issn>1089-2591</issn><abstract>There are no randomized studies of the two therapeutic alternatives (surgery or radiotherapy) for occult cervical carcinoma, and survival rates in the absence of residual cancer seem to be similar for both. This article presents our experience with radical reoperation for occult cervical carcinoma.
Eleven patients with occult cervical cancer, primary invasive tumor >/=0.5 cm and </=3.0 cm, free margins in the hysterectomy specimen, and absence of clinically evident residual tumor were reoperated (radical parametrectomy with partial colpectomy and pelvic lymphadenectomy).
Histopathologic examination after reoperation showed no evidence of residual disease in nine cases and metastasis in lymph nodes in two cases, one of them with parametrial involvement. Survival was 100% among disease-free cases on reoperation and 0% in cases with residual disease (5-year follow-up).
Radical reoperation allows disease staging, sorting of patients into risk groups, and avoidance of radiation therapy in more than two thirds of the cases of occult cervical carcinoma.</abstract><cop>United States</cop><pmid>15874846</pmid><doi>10.1097/00128360-200404000-00004</doi><tpages>4</tpages></addata></record> |
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title | Radical parametrectomy for occult cervical carcinoma detected posthysterectomy |
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