Publications

Detailed Information

Necessity of Radical Hysterectomy for Endometrial Cancer Patients with Cervical Invasion

DC Field Value Language
dc.contributor.authorLee, Taek Sang-
dc.contributor.authorKim, Jae Weon-
dc.contributor.authorKim, Dae Yeon-
dc.contributor.authorKim, Young Tae-
dc.contributor.authorKim, Byoung Gie-
dc.contributor.authorMcMeekin, D. Scott-
dc.contributor.authorLee, Ki Heon-
dc.date.accessioned2012-06-05T01:02:49Z-
dc.date.available2012-06-05T01:02:49Z-
dc.date.issued2010-04-
dc.identifier.citationJOURNAL OF KOREAN MEDICAL SCIENCE; Vol.25 4; 552-556ko_KR
dc.identifier.issn1011-8934-
dc.identifier.urihttps://hdl.handle.net/10371/76824-
dc.description.abstractTo 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.ko_KR
dc.description.sponsorshipThis study was supported by a grant of the Korea
Health 21 R&D Project, Ministry of Health & Welfare,
Republic of Korea (0412-CR01-0704-0001)
ko_KR
dc.language.isoenko_KR
dc.publisherKOREAN ACAD MEDICAL SCIENCESko_KR
dc.subjectEndometrial Neoplasmsko_KR
dc.subjectCervical Invasionko_KR
dc.subjectRadical Hysterectomyko_KR
dc.titleNecessity of Radical Hysterectomy for Endometrial Cancer Patients with Cervical Invasionko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor이택상-
dc.contributor.AlternativeAuthor김재원-
dc.contributor.AlternativeAuthor김대연-
dc.contributor.AlternativeAuthor김영태-
dc.contributor.AlternativeAuthor이기헌-
dc.contributor.AlternativeAuthor김병지-
dc.identifier.doi10.3346/jkms.2010.25.4.552-
dc.citation.journaltitleJOURNAL OF KOREAN MEDICAL SCIENCE-
dc.description.citedreferenceWatanabe Y, 2007, GYNECOL ONCOL, V105, P325, DOI 10.1016/j.ygyno.2006.12.015-
dc.description.citedreference*KOR SOC OBST GYN, 2006, KOREAN J OBSTET GYNE, V49, P762-
dc.description.citedreferenceIWATA S, 2002, RADIAT MED, V20, P247-
dc.description.citedreferenceWagenaar HC, 2001, GYNECOL ONCOL, V82, P474-
dc.description.citedreferenceNiland JC, 2000, ONCOLOGY-NY, V14, P100-
dc.description.citedreferenceMaggino T, 1998, GYNECOL ONCOL, V68, P274-
dc.description.citedreferenceYura Y, 1996, GYNECOL ONCOL, V63, P114-
dc.description.citedreferenceLEMINEN A, 1995, ACTA OBSTET GYN SCAN, V74, P61-
dc.description.citedreferenceELIA G, 1995, EUR J GYNAECOL ONCOL, V16, P169-
dc.description.citedreferenceBEHBAKHT K, 1994, GYNECOL ONCOL, V55, P363-
dc.description.citedreferenceKADAR N, 1992, OBSTET GYNECOL, V80, P655-
dc.description.citedreferenceAMBROS RA, 1992, CANCER, V69, P1424-
dc.description.citedreferenceMANNEL RS, 1990, OBSTET GYNECOL, V75, P1016-
dc.description.citedreferenceBORONOW RC, 1984, OBSTET GYNECOL, V63, P825-
dc.description.citedreferenceBERMAN ML, 1980, AM J OBSTET GYNECOL, V136, P679-
dc.description.citedreferenceDANOFF BF, 1980, INT J RADIAT ONCOL, V6, P1491-
dc.description.citedreferenceMASUBUCHI S, 1979, GYNECOL ONCOL, V7, P36-
dc.description.citedreferenceRUTLEDGE F, 1974, GYNECOL ONCOL, V2, P331-
dc.description.citedreferenceMORROW CP, 1973, OBSTET GYNECOL, V42, P399-
dc.description.tc2-
Appears in Collections:
Files in This Item:

Altmetrics

Item View & Download Count

  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Share