Recurrent cervical carcinoma after radical hysterectomy

Larson, Dale M.; Copeland, Larry J.; Stringer, C. Allen; Gershenson, David M.; Malone, John M.; Edwards, Creighton L.

doi:10.1016/0090-8258(88)90252-1

Cited by 120 publications

(119 citation statements)

References 15 publications

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“…In addition, we found that patients with locoregional recurrence had a shorter median RFI (23.5 months) among the 3 recurrence patterns, which is similar to previous studies [4,10,18]. Larson et al [19] reported that 70% of pelvic recurrences were discovered within 2 years after RHND compared with 20% of distant recurrences (p = 0.02). In our study, most patients with distant or combined recurrence were detected more than 3 years after RHND.…”

Section: Discussionsupporting

confidence: 79%

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Clinical Aspects and Prognostic Factors for Survival in Patients with Recurrent Cervical Cancer after Radical Hysterectomy

Hanprasertpong

Jiamset²,

Geater³

et al. 2016

Oncol Res Treat

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Background: The aim of this study was to investigate the clinical aspects and prognostic factors for survival in patients with recurrent cervical cancer after radical hysterectomy with node dissection (RHND) for stages IA2-IB1. Patients and Methods: Clinicopathologic characteristics of the primary tumor, pattern of recurrence, method of detection, salvage treatment, and outcome were reviewed from the medical records of patients who underwent RHND between 1987 and 2015. Prognostic factors were identified using a Cox regression model. Results: Of 702 patients enrolled in the study, 84 (11.9%) had recurrence. 58, 17, and 9 patients had locoregional, distant, and combined recurrence, respectively. No association between clinicopathologic features and recurrence patterns was observed. Most recurrence patients (63.1%) complained of symptoms prior to examination. The majority of asymptomatic recurrence patients (71.4%) were diagnosed by physical and/or pelvic examination. 5-year overall survival after recurrence (SAR) was 34.3%. On multivariate analysis, pattern of recurrence (p = 0.003), symptom status (p = 0.011), age (p = 0.035), and white blood cell (WBC) count (p = 0.017) were independent prognostic factors for overall SAR. Conclusion: Only pattern of recurrence, symptom status, age, and WBC count were found to be prognostic factors in recurrent cervical cancer after RHND. Follow-up programs after RHND should be directed toward early detection of recurrence.

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Section: Discussionsupporting

confidence: 79%

“…Despite aggressive current management through multimodal therapy, the prognosis of patients with recurrent cervical cancer is poor [4,5,13,19]. In our study, the 1- and 5-year overall SAR rates for the whole study population were 73.2 and 34.3%, respectively.…”

Section: Discussionmentioning

confidence: 71%

Clinical Aspects and Prognostic Factors for Survival in Patients with Recurrent Cervical Cancer after Radical Hysterectomy

Hanprasertpong

Jiamset²,

Geater³

et al. 2016

Oncol Res Treat

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“…Now incidence is less than 2%. [17].In our study there was no urinary tract fistulas due to careful dissection and less invasive surgery. Late post operative complication[appearing 30 days post operative] Lymphedema develops insidiously over time.…”

Section: Discussionmentioning

confidence: 74%

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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“…6 Buller and colleagues, in a study on early evaluation of the urinary tract after radical hysterectomy, concluded that in the absence of intraoperative urinary tract injury or symptoms suggesting fistula or ureteral obstruction, the routine use of preoperative and postoperative IVP should be abandoned. 7 The echogenic appearance of urine spurting into the urinary bladder on sonograms, the "ureteric jet effect," was reported by Dubbins and colleagues in 1981, who suggested that recorded Doppler signals resulted from turbulent flow of urine into the otherwise static urine within the bladder.…”

Section: Discussionmentioning

confidence: 99%

Postoperative color Doppler flow ultrasonographic assessment of ureteral patency in gynecologic oncology patients

Abulafia

Sherer

Lee

1997

Journal of Ultrasound in Medicine

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Our objective was to assess postoperative ureteral patency in gynecologic oncology patients with color Doppler flow ultrasonographic assessment of ureteral jets. Forty·five consecutive gynecologic oncology patients meeting inclusion criteria prospectively underwent postoperative trans· abdominal color Doppler flow ultrasonographic assessment of ureteral jets to establish patency; 48 consecutive women undergoing transabdominal ultrasonographic studies for benign gynecologic conditions served as a control group. Statistical analysis included two-tailed t-test, with P < 0.05 considered significant. Bilateral ureteral jets were I atrogenic ureteral compromise has been estimated to occur in 1 to 2.5% of all gynecologic procedures.u Interestingly, between 55 and 75% ABBREVIATIONS 1VP, Intravenous pyelography; SEM, Standard enor of the mean; BUN, Blood urea nitrogen; SE, Standard enor.

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Recurrent cervical carcinoma after radical hysterectomy

Cited by 120 publications

References 15 publications

Clinical Aspects and Prognostic Factors for Survival in Patients with Recurrent Cervical Cancer after Radical Hysterectomy

Clinical Aspects and Prognostic Factors for Survival in Patients with Recurrent Cervical Cancer after Radical Hysterectomy

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

Postoperative color Doppler flow ultrasonographic assessment of ureteral patency in gynecologic oncology patients

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