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Necessity of Radical Hysterectomy for Endometrial Cancer Patients with Cervical Invasion
DC Field | Value | Language |
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dc.contributor.author | Lee, Taek Sang | - |
dc.contributor.author | Kim, Jae Weon | - |
dc.contributor.author | Kim, Dae Yeon | - |
dc.contributor.author | Kim, Young Tae | - |
dc.contributor.author | Kim, Byoung Gie | - |
dc.contributor.author | McMeekin, D. Scott | - |
dc.contributor.author | Lee, Ki Heon | - |
dc.date.accessioned | 2012-06-05T01:02:49Z | - |
dc.date.available | 2012-06-05T01:02:49Z | - |
dc.date.issued | 2010-04 | - |
dc.identifier.citation | JOURNAL OF KOREAN MEDICAL SCIENCE; Vol.25 4; 552-556 | ko_KR |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://hdl.handle.net/10371/76824 | - |
dc.description.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. | ko_KR |
dc.description.sponsorship | This 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.iso | en | ko_KR |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | ko_KR |
dc.subject | Endometrial Neoplasms | ko_KR |
dc.subject | Cervical Invasion | ko_KR |
dc.subject | Radical Hysterectomy | ko_KR |
dc.title | Necessity of Radical Hysterectomy for Endometrial Cancer Patients with Cervical Invasion | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 이택상 | - |
dc.contributor.AlternativeAuthor | 김재원 | - |
dc.contributor.AlternativeAuthor | 김대연 | - |
dc.contributor.AlternativeAuthor | 김영태 | - |
dc.contributor.AlternativeAuthor | 이기헌 | - |
dc.contributor.AlternativeAuthor | 김병지 | - |
dc.identifier.doi | 10.3346/jkms.2010.25.4.552 | - |
dc.citation.journaltitle | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
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dc.description.tc | 2 | - |
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