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[Surgical treatment of cervix cancer. A 6-year material from a regional hospital].

Identifieur interne : 00C769 ( Main/Exploration ); précédent : 00C768; suivant : 00C770

[Surgical treatment of cervix cancer. A 6-year material from a regional hospital].

Auteurs : B. Hagen ; F E Skjeldestad ; S. Tingulstad ; M. Onsrud ; T. Halvorsen

Source :

RBID : pubmed:7985176

Descripteurs français

English descriptors

Abstract

The results are reported for 75 patients treated with radical hysterectomy and pelvic lymphadenectomy (Wertheim-Meigs' operation) for cervical carcinoma. There was no per- or postoperative death. Ten patients suffered immediate postoperative complications. One case of lower limb lymphoedema was observed. 17 patients (23%) had pelvic lymph node metastases. In eight patients the disease has recurred (median observation time 43 months). Overall recurrence-free survival was 89%: for patients without lymph node metastases 91%, and for patients with metastases 82%. Using a prognostic score based on stage, presence of lymph node metastases, blood or lymph vessel invasion, low differentiation, and tumour-involved resection margins; two groups could be identified, with a recurrence-free survival of 94% (score < or = 2) and 75% (score > or = 3), respectively (p < 0.02).

PubMed: 7985176


Affiliations:


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Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Carcinoma (mortality)</term>
<term>Carcinoma (pathology)</term>
<term>Carcinoma (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Hysterectomy (methods)</term>
<term>Lymphatic Metastasis</term>
<term>Middle Aged</term>
<term>Neoplasm Recurrence, Local</term>
<term>Norway (epidemiology)</term>
<term>Postoperative Complications (diagnosis)</term>
<term>Prognosis</term>
<term>Uterine Cervical Neoplasms (mortality)</term>
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<term>Carcinomes (mortalité)</term>
<term>Complications postopératoires (diagnostic)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hystérectomie ()</term>
<term>Métastase lymphatique</term>
<term>Norvège (épidémiologie)</term>
<term>Pronostic</term>
<term>Récidive tumorale locale</term>
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<term>Tumeurs du col de l'utérus ()</term>
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<term>Aged</term>
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<div type="abstract" xml:lang="en">The results are reported for 75 patients treated with radical hysterectomy and pelvic lymphadenectomy (Wertheim-Meigs' operation) for cervical carcinoma. There was no per- or postoperative death. Ten patients suffered immediate postoperative complications. One case of lower limb lymphoedema was observed. 17 patients (23%) had pelvic lymph node metastases. In eight patients the disease has recurred (median observation time 43 months). Overall recurrence-free survival was 89%: for patients without lymph node metastases 91%, and for patients with metastases 82%. Using a prognostic score based on stage, presence of lymph node metastases, blood or lymph vessel invasion, low differentiation, and tumour-involved resection margins; two groups could be identified, with a recurrence-free survival of 94% (score < or = 2) and 75% (score > or = 3), respectively (p < 0.02).</div>
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