Pelvic Exenteration for Carcinoma of the Cervix: Analysis of 252 Cases

Cuevas, Héctor Rodriguez; Torres, A.; Garza, Mario De La; Hernández, Dimas; Herrera, Lemuel

doi:10.1016/s0022-5347(17)42152-5

Cited by 1 publication

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“…Pelvic exenteration was considered for long time as a debilitating procedure which is associated with unacceptable rates of postoperative complications and postoperative mortality. However, once the surgical technique and postoperative management significantly improved, the complication rate decreased and transformed pelvic exenteration into the golden standard in Although initially it was considered that advanced age is a contraindication for performing such an extensive procedure (6,11), in time it was successfully implemented in elderly groups of patients too (12). This fact was also correlated to the fact that life expectancy has continually increased in the last decades, so the number of elderly patients presenting with gynecologic malignancies also encountered an augmentation (13).…”

Section: Discussion Discussionmentioning

confidence: 99%

Total pelvic exenteration for locally invasive cervical tumor in an elderly patient - a case report and literature review

Bacalbaşa¹,

Bălescu²,

Tomescu³

et al. 2015

JTMR

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Cervical cancer is an aggressive gynecologic malignancy with a high capacity of local tumor spread and involvement of the surrounding organs. In these cases multiple pelvic organ resection might be needed to obtain a good local control of the disease. Although plevic exenteration has been considered for long time as a debilitant procedure associated with unacceptable risks of postoperative complications, in the last few decades it has been recognised as a salvage therapy and the only possible chance for cure for these cases which can be safely applied in elderly patients too. We present the case of a 81 year old patient who was diagnosed with a large cervical tumor invading the urinary bladder and the rectum in whom a total pelvic exenteration was performed.

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Section: Discussion Discussionmentioning

confidence: 99%