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

Identifieur interne : 005494 ( PubMed/Curation ); précédent : 005493; suivant : 005495

[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

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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

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pubmed:7985176

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B. Hagen
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<nlm:affiliation>Gynekologisk avdeling, Regionsykehuset i Trondheim.</nlm:affiliation>
<wicri:noCountry code="subField">Regionsykehuset i Trondheim</wicri:noCountry>
</affiliation>

Le document en format XML

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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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