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Titolo:
How to avoid suboptimal management of cervical carcinoma by simple hysterectomy
Autore:
Rodolakis, A; Diakomanolis, E; Haidopoulos, D; Voulgaris, Z; Protopapas, A; Makris, N; Michalas, S;
Indirizzi:
Univ Athens, Alexandra Hosp, Dept Obstet & Gynecol 1, Gynecol Oncol Unit, Athens, Greece Univ Athens Athens Greece Gynecol 1, Gynecol Oncol Unit, Athens, Greece
Titolo Testata:
EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY
fascicolo: 5-6, volume: 20, anno: 1999,
pagine: 418 - 422
SICI:
0392-2936(1999)20:5-6<418:HTASMO>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
INVASIVE CANCER; IRRADIATION; RADIOTHERAPY; CONIZATION; CYTOLOGY; DISEASE; WOMEN; TIME;
Keywords:
cervical cancer; simple hysterectomy; radiation treatment; cervical cancer screening;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Rodolakis, A 11 Ioanninon St Filothei, Athens 15237, Greece 11 Ioanninon St Filothei Athens Greece 15237 15237, Greece
Citazione:
A. Rodolakis et al., "How to avoid suboptimal management of cervical carcinoma by simple hysterectomy", EUR J GYN O, 20(5-6), 1999, pp. 418-422

Abstract

Objective: To determine the reasons leading to atl inappropriate simple hysterectomy in the presence of carcinoma of the cervix and to evaluate factors related to survival. Methods: All preoperative information was abstracted from 63 cervical cancer patients cleared by simple hysterectomy from 1980-1993. Cervical cancer screening history as well as the indication for hysterectomy were analyzed. The 5-year survival was calculated and correlated with the tumour histological subtype and presumed stage of disease. Results: The most common preoperative symptom was abnormal uterine bleeding (73%). The absence of preoperative cytology, an inadequately evaluated abnormal Pap smear and the failure to differentiate from endometrial carcinoma were the main causes leading to an inappropriate simple hysterectomy. The cumulative 5-year survival was 63.5% and was correlated with the presumed stage of disease and the histological subtype. Conclusion: Only with close adherence to the cervical cancer screening-guidelines and appropriate evaluation of presenting symptoms can we avoid inappropriate management of cervical carcinoma with simple hysterectomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 19:41:52