Evaluation of the effects of type II radical hysterectomy in the treatment of 960 patients with stage IB-IIB cervical carcinoma: A retrospective study

2010 ◽  
Vol 103 (5) ◽  
pp. 435-441 ◽  
Author(s):  
Min Zheng ◽  
Long Huang ◽  
Li He ◽  
Hui Ding ◽  
Hui-Yun Wang ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Cervical Carcinoma ◽  
Radical Hysterectomy ◽  
Type Ii ◽  
Stage Ib

Bulky Stage IB Cervical Carcinoma Managed by Primary Radical Hysterectomy Followed by Tailored Radiotherapy

1993 ◽  
Vol 48 (4) ◽  
pp. 266-268
Author(s):  
JEFFREY D. SLOSS ◽  
MICHAEL L. BERMAN ◽  
J. MUKHERERJEE ◽  
ALBERTO MANETTA ◽  
DENNIS EMMA ◽  
...  
Keyword(s):  
Cervical Carcinoma ◽  
Radical Hysterectomy ◽  
Primary Radical ◽  
Stage Ib

scholarly journals The value of sentinel lymphadenectomy in radical operative treatment of cervical cancer

2009 ◽  
Vol 66 (7) ◽  
pp. 539-543 ◽  
Author(s):  
Vladimir Pazin ◽  
Svetlana Dragojevic ◽  
Zeljko Mikovic ◽  
Milan Djukic ◽  
Snezana Rakic ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Lymph Nodes ◽  
Sentinel Node ◽  
Cervical Carcinoma ◽  
Radical Hysterectomy ◽  
Predictive Value ◽  
Sentinel Nodes ◽  
Sentinel Lymphadenectomy ◽  
Stage Ib ◽  
The Mean

Background/Aim. Therapy of the early stages of cervical carcinoma is surgical or radiation therapy, and for advanced stages chemoradiotherapy. Pelvic and paraaortic lymphadenectomy in early stages offers the most important prognostic factor for survival. To evaluate the method and possible influence on surgical staging and therapy of the disease, we performed sentinel node (SN) identification and excision during open radical hysterectomy and lymphadenectomy in stage Ib-IIa cervical carcinoma. Methods. Fifty patients initially diagnosed with invasive squamous-cell cervical cancer stage Ib-IIa were included in the study. Only blue dye was used for sentinel node mapping. During the surgery sentinel nodes were identified and sent to histopathology separately from the other lymph nodes. After lymphadenectomy, radical hysterectomy was performed. Results. The mean age of our fifty patients was 49.10 years (SD = 5.92), and the mean number of extracted lymph nodes per patient was 25.78 (SD = 5.58). The number of sentinel nodes identified per patient was between 0 and 5, mean 2.60 (SD = 1.54). There were no inframesenteric paraaortic sentinel nodes found among the patients. The dominant tumor grades were 1 and 2, 40% and 50% respectively, and 37 out of 50 patients (74%) had tumor diameter less than 2 cm. In four patients (8%) SN were not identified. In the rest of 46 patients the presence of SN was bilateral (19 patients, 38%) or unilateral (27 patients, 54%). Positive SN were found in 17 patients (34%), and negative in 29 patients (58%). Out of the whole group of patients (50), 21 of them (42%) had positive lymph nodes (LN). In the crosstab statistics, no differences were noticed in the group without SN found, in comparison with tumor grade and diameter. Finally, our test showed sensitivity of 85% (SE = 8%), specificity 100%, positive predictive value of 100%, negative predictive value of 89.6% (SE = 5.6%), and effectiveness of 93% (SE = 3.6%) regarding sentinel lymphadenectomy. Conclusion. This method of sentinel lymph node identification is simple, but not reliable enough to support further laparoscopic SN excision in order to make the final decision about the treatment of cervical cancer.

Radical Hysterectomy and Pelvic Lymphadenectomy Versus Radiation Therapy for Small (≤3 cm) Stage IB Cervical Carcinoma

1988 ◽  
Vol 11 (1) ◽  
pp. 21-24 ◽  
Author(s):  
M Steven Piver ◽  
David L. Marchetti ◽  
Thomas Patton ◽  
Joshua Halpern ◽  
Leslie Blumenson ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Cervical Carcinoma ◽  
Radical Hysterectomy ◽  
Pelvic Lymphadenectomy ◽  
Stage Ib

Bulky stage IB cervical carcinoma managed by primary radical hysterectomy followed by tailored radiotherapy

1993 ◽  
Vol 42 (1) ◽  
pp. 95-95
Author(s):  
J.D. Bloss ◽  
M.L. Berman ◽  
J. Mukhererjee ◽  
A. Manetta ◽  
D. Emma ◽  
...  
Keyword(s):  
Cervical Carcinoma ◽  
Radical Hysterectomy ◽  
Primary Radical ◽  
Stage Ib

scholarly journals Vaginal cuff length during radical hysterectomy is a prognostic factor for stage IB-IIA cervical cancer: a retrospective study

2018 ◽  
Vol Volume 10 ◽  
pp. 5927-5935 ◽  
Author(s):  
Na Zuo ◽  
Hongzhen Hu ◽  
Niresh Thapa ◽  
Zhen Li ◽  
Daqiong Jiang ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Retrospective Study ◽  
Prognostic Factor ◽  
Radical Hysterectomy ◽  
Vaginal Cuff ◽  
Stage Ib
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