Class II Radical Hysterectomy in Low-Risk IB Squamous Cell Carcinoma of Cervix: A Safe and Effective Option

Cai, Hongwei; Chen, Huizhen; Zhou, Youwen; Lie, Dao-Mei; Hou, Han-Yin

doi:10.1111/igc.0b013e318197f847

Cited by 26 publications

(21 citation statements)

References 20 publications

(12 reference statements)

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“…A study performed by Cai et al (15) also favoured class II RAH rather than class III in grade I and II cervical SCCs smaller than 2 cm. The authors reported similar oncological outcomes in the class II group, with significantly lower operating time, post-operative length of hospital stay, and estimated blood loss (15). It is worth noting that these two studies did not include stage IB2 cases.…”

Section: Discussionmentioning

confidence: 78%

To what extent should we perform parametrectomy in FIGO stage IB cervical cancer?

Ayhan

Başer

Dursun

et al. 2013

J Turkish German Gynecol Assoc

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Objective: To demonstrate the histopathological basis of individually tailored less radical surgery concept in patients with International Federation of Gynecology and Obstetrics (FIGO) stage IB cervical cancer. Material and Methods:The study was performed in the gynaecologic oncology department of Başkent School of Medicine Hospital, Ankara, Turkey between January 1 st 2008 and January 1 st 2009. Cardinal and uterosacral ligaments were serially sectioned in an alternative approach, and were examined by a senior gynaecologic pathologist. Clinical and pathological features and findings in sections of uterine ligaments were recorded. Study data were analysed using the SPSS 17.0 program. Results:Thirty-two out of 38 cases had squamous cell carcinoma (SCC) (84.2 %), and six had non-squamous cell tumours (15.8%). Four cases had microscopic (10.5 %) and one case had macroscopic (2.6 %) tumour extension in cardinal ligaments. Mean tumour-free cardinal ligament length was 16.8±7.39 mm. Presence of tumour invasion in cardinal ligaments correlated significantly with pelvic lymph node metastasis (p=0.02). No isolated tumour deposits were found in any of the cases in serial sections of the cardinal or uterosacral ligaments. Conclusion:This research was designed as a preliminary study. Future studies are needed to determine the optimal resection margins of the uterine ligaments in surgically treated stage IB cervical cancer. With continuing research and the development of newer surgical techniques, patients' quality of life will be optimised accordingly. (J Turkish-German Gynecol Assoc 2013; 14: 63- Sonuç: Bu araştırma, öncü bir çalışma olarak dizayn edildi. Cerrahi olarak tedavi edilen FIGO evre IB serviks kanserli hastalarda uterin ligamentlerin optimal rezeksiyon sınırlarının belirlenebilmesi için gelecek çalışmalara ihtiyaç vardır. Süren araştırmalar ve yeni cerrahi tekniklerin gelişmelerinin eşliğinde, hastaların yaşam kaliteleri de optimize edilecektir.

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Section: Discussionmentioning

confidence: 78%

To what extent should we perform parametrectomy in FIGO stage IB cervical cancer?

Ayhan

Başer

Dursun

et al. 2013

J Turkish German Gynecol Assoc

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“…Patients with low risk early stage disease undergoing radical surgical treatment have a survival of nearly 100%. [19] However patient with more advanced disease have lower reported outcome.…”

Section: Survivalmentioning

confidence: 99%

Outcome of Patients after Modified Radical Hysterectomy with Pelvic Lymphadenectomy in Early Stage Carcinoma Cervix: A Retrospective Study

Bala¹,

Priyanka²,

Atima³

et al. 2017

IOSR JDMS

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“…Patients with low-risk early-stage disease, undergoing radical surgical treatment have a survival of nearly 100% [20]. However, patients with more advanced disease have lower reported outcomes.…”

Section: Survivalmentioning

confidence: 99%

Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications

Ware

Nagell

2010

Obstetrics and Gynecology International

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Radical hysterectomy with pelvic lymphadenectomy remains the treatment of choice for women with Stages IA2 and IB1 carcinoma of the cervix, and selected patients with Stage II endometrial cancer. Improvement in surgical techniqe, administration of prophylactic antibiotics, thromboemolic prophylaxis, and advances in critical care medicine have resulted in lower operative morbidity associated with this procedure. Major urinary tract complications such as ureteral injury or vesico-vaginal fistula are now extremely rare (<1%). Five-year survival rates following this procedure vary according to a number of clinical and histologic variables, and may be as high as 90% in women without lymph node metastases.

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Class II Radical Hysterectomy in Low-Risk IB Squamous Cell Carcinoma of Cervix: A Safe and Effective Option

Abstract: In treating a subset of patients with tumor size no greater than 2 cm and grade 1 to 2 squamous cell cancer, class II and class III radical hysterectomy are equally effective, but the former has far less complications than the latter.

Cited by 26 publications

References 20 publications

To what extent should we perform parametrectomy in FIGO stage IB cervical cancer?

To what extent should we perform parametrectomy in FIGO stage IB cervical cancer?

Outcome of Patients after Modified Radical Hysterectomy with Pelvic Lymphadenectomy in Early Stage Carcinoma Cervix: A Retrospective Study

Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications

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