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Necessity of Radical Hysterectomy for Endometrial Cancer Patients with Cervical Invasion

Cited 10 time in Web of Science Cited 10 time in Scopus
Authors
Lee, Taek Sang; Kim, Jae Weon; Kim, Dae Yeon; Kim, Young Tae; Kim, Byoung Gie; McMeekin, D. Scott; Lee, Ki Heon
Issue Date
2010-04
Publisher
KOREAN ACAD MEDICAL SCIENCES
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE; Vol.25 4; 552-556
Keywords
Endometrial NeoplasmsCervical InvasionRadical Hysterectomy
Abstract
To determine whether radical hysterectomy is necessary in the treatment of endometrial cancer patients with cervical involvement, we reviewed the medical records of women who underwent primary surgical treatment for endometrial carcinoma and selected patients with pathologically proven cervical invasion. Among 133 patients, 62 patients underwent extrafascial hysterectomy (EH) and 71 radical or modified radical hysterectomy (RH). The decision regarding EH or RH was made at the discretion of the attending surgeon. The sensitivity of pre-operative magnetic resonance imaging for cervical invasion was 44.7% (38/85). In RH patients, 10/71 (14.1%) patients had frankly histologic parametrial involvement (PMI). All were stage III or over. Eight of 10 patients had pelvic/paraaortic node metastasis and two showed extrauterine spread. In 74 patients with stage II cancer, RH was performed in 41 and PMI was not seen. Sixty-six (89.2%) patients had adjuvant radiation therapy and there were 3 patients who had developed recurrent disease in the RH group and none in the EH group (Mean follow-up: 51 months). Although these findings cannot conclusively refute or support the necessity of radical hysterectomy in patients with cervical extension, it is noteworthy that the risk of PMI seems to be minimal in patients with a tumor confined to the uterus without evidence of extrauterine spread.
ISSN
1011-8934
Language
English
URI
https://hdl.handle.net/10371/76824
DOI
https://doi.org/10.3346/jkms.2010.25.4.552
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College of Medicine/School of Medicine (의과대학/대학원)Obstetrics & Gynecology (산부인과전공)Journal Papers (저널논문_산부인과학전공)
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