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Identifying a low-risk group for parametrial involvement in microscopic Stage IB1 cervical cancer using criteria from ongoing studies and a new MRI criterion

Identifieur interne : 001C91 ( Main/Exploration ); précédent : 001C90; suivant : 001C92

Identifying a low-risk group for parametrial involvement in microscopic Stage IB1 cervical cancer using criteria from ongoing studies and a new MRI criterion

Auteurs : Jung-Yun Lee [Corée du Sud] ; Jina Youm [Corée du Sud] ; Jae-Weon Kim [Corée du Sud] ; Jeong Yeon Cho [Corée du Sud] ; Min A. Kim [Corée du Sud] ; Tae Hun Kim [Corée du Sud] ; Dong Hoon Suh [Corée du Sud] ; Myong Cheol Lim ; Noh Hyun Park [Corée du Sud] ; Yong-Sang Song [Corée du Sud]

Source :

RBID : PMC:4374417

Abstract

Background

There are currently three ongoing studies on less radical surgery in cervical cancer: ConCerv, GOG-278, and SHAPE. The aim of this study was to evaluate the performance of the criteria used in ongoing studies retrospectively and suggest a new, simplified criterion in microscopic Stage IB1 cervical cancer.

Methods

A retrospective analysis was performed in 125 Stage IB1 cervical cancer patients who had no clinically visible lesions and were allotted based on microscopic findings after conization. All patients had magnetic resonance imaging (MRI) after conization and underwent type C2 radical hysterectomy. We suggested an MRI criterion for less radical surgery candidates as patients who had no demonstrable lesions on MRI. The rates of parametrial involvement (PMI) were estimated for patients that satisfied the inclusion criteria for ongoing studies and the MRI criterion.

Results

The rate of pathologic PMI was 5.6% (7/125) in the study population. ConCerv and GOG-278 identified 11 (8.8%) and 14 (11.2%) patients, respectively, as less radical surgery candidates, and there were no false negative cases. SHAPE and MRI criteria identified 78 (62.4%) and 74 (59.2%) patients, respectively, as less radical surgery candidates; 67 patients were identified as less radical surgery candidates by both sets of criteria. Of these 67 patients, only one had pathologic PMI with tumor emboli.

Conclusions

This study suggests that the criteria used in three ongoing studies and a new, simplified criterion using MRI can identify candidates for less radical surgery with acceptable false negativity in microscopic Stage IB1 disease.


Url:
DOI: 10.1186/s12885-015-1184-2
PubMed: 25885786
PubMed Central: 4374417


Affiliations:


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<name sortKey="Park, Noh Hyun" sort="Park, Noh Hyun" uniqKey="Park N" first="Noh Hyun" last="Park">Noh Hyun Park</name>
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<settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
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<name sortKey="Song, Yong Sang" sort="Song, Yong Sang" uniqKey="Song Y" first="Yong-Sang" last="Song">Yong-Sang Song</name>
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<nlm:aff id="Aff2">Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, 110-744 Seoul, Korea</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, 110-744 Seoul</wicri:regionArea>
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<settlement type="city">Séoul</settlement>
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<title level="j">BMC Cancer</title>
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<title>Background</title>
<p>There are currently three ongoing studies on less radical surgery in cervical cancer: ConCerv, GOG-278, and SHAPE. The aim of this study was to evaluate the performance of the criteria used in ongoing studies retrospectively and suggest a new, simplified criterion in microscopic Stage IB1 cervical cancer.</p>
</sec>
<sec>
<title>Methods</title>
<p>A retrospective analysis was performed in 125 Stage IB1 cervical cancer patients who had no clinically visible lesions and were allotted based on microscopic findings after conization. All patients had magnetic resonance imaging (MRI) after conization and underwent type C2 radical hysterectomy. We suggested an MRI criterion for less radical surgery candidates as patients who had no demonstrable lesions on MRI. The rates of parametrial involvement (PMI) were estimated for patients that satisfied the inclusion criteria for ongoing studies and the MRI criterion.</p>
</sec>
<sec>
<title>Results</title>
<p>The rate of pathologic PMI was 5.6% (7/125) in the study population. ConCerv and GOG-278 identified 11 (8.8%) and 14 (11.2%) patients, respectively, as less radical surgery candidates, and there were no false negative cases. SHAPE and MRI criteria identified 78 (62.4%) and 74 (59.2%) patients, respectively, as less radical surgery candidates; 67 patients were identified as less radical surgery candidates by both sets of criteria. Of these 67 patients, only one had pathologic PMI with tumor emboli.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>This study suggests that the criteria used in three ongoing studies and a new, simplified criterion using MRI can identify candidates for less radical surgery with acceptable false negativity in microscopic Stage IB1 disease.</p>
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<list>
<country>
<li>Corée du Sud</li>
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<li>Région capitale de Séoul</li>
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<li>Séoul</li>
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<name sortKey="Lim, Myong Cheol" sort="Lim, Myong Cheol" uniqKey="Lim M" first="Myong Cheol" last="Lim">Myong Cheol Lim</name>
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<name sortKey="Lee, Jung Yun" sort="Lee, Jung Yun" uniqKey="Lee J" first="Jung-Yun" last="Lee">Jung-Yun Lee</name>
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<name sortKey="Cho, Jeong Yeon" sort="Cho, Jeong Yeon" uniqKey="Cho J" first="Jeong Yeon" last="Cho">Jeong Yeon Cho</name>
<name sortKey="Kim, Jae Weon" sort="Kim, Jae Weon" uniqKey="Kim J" first="Jae-Weon" last="Kim">Jae-Weon Kim</name>
<name sortKey="Kim, Min A" sort="Kim, Min A" uniqKey="Kim M" first="Min A" last="Kim">Min A. Kim</name>
<name sortKey="Kim, Tae Hun" sort="Kim, Tae Hun" uniqKey="Kim T" first="Tae Hun" last="Kim">Tae Hun Kim</name>
<name sortKey="Park, Noh Hyun" sort="Park, Noh Hyun" uniqKey="Park N" first="Noh Hyun" last="Park">Noh Hyun Park</name>
<name sortKey="Song, Yong Sang" sort="Song, Yong Sang" uniqKey="Song Y" first="Yong-Sang" last="Song">Yong-Sang Song</name>
<name sortKey="Suh, Dong Hoon" sort="Suh, Dong Hoon" uniqKey="Suh D" first="Dong Hoon" last="Suh">Dong Hoon Suh</name>
<name sortKey="Youm, Jina" sort="Youm, Jina" uniqKey="Youm J" first="Jina" last="Youm">Jina Youm</name>
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</tree>
</affiliations>
</record>

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