Stage IB adenocarcinoma of the cervix treated by radical hysterectomy and pelvic lymph node dissection
Article Abstract:
Stage IB adenocarcinomas, a class of cancer of the cervix, can be treated with surgery and radiotherapy. The entire uterus is removed along with neighboring lymph nodes. Prognosis is determined by the size of the tumor, how far the cancer cells have invaded underlying layers, and the spread of cancer cells to surrounding lymph nodes. Cell type and tumor grade did not affect the rate of recurrence (about 22 percent overall). Patients whose lymph nodes are cancerous are more likely to have recurrences of the disease. Normal periodic screening of cervical cells left many cancers undiagnosed. The study confirms that the current surgical procedure, hysterectomy with removal of pelvic lymph nodes, is an adequate treatment for this type of cervical cancer.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1989
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The use of intraoperative radiation therapy in radical salvage for recurrent cervical cancer: outcome and toxicity
Article Abstract:
Certain women who have experienced more than one episode of cervical cancer may benefit from radiation therapy applied during surgery to remove cancerous tissue. Intraoperative radiation therapy can deliver a large and specific dose of radiation to tissues that cannot be removed. Researchers applied intraoperative radiation therapy to 22 patients undergoing surgery for recurrent cervical cancer that had spread and could not totally be removed surgically. Eight patients survived 15 to 115 months after radiation and surgery. This survival rate is higher than that of conventional radiation. Nerve damage resulting in leg pain was a common complication of the radiation, with higher doses of radiation more likely to cause nerve damage.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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Adenocarcinoma of the uterine cervix metastatic to lymph nodes
Article Abstract:
The prognosis of cervical cancer that metastasizes to lymph nodes can be improved depending on the stage of the cancer and the treatment. In a study of 40 patients with metastatic cervical cancer, those with stage I disease survived longer than those with stage II disease. A radical hysterectomy improved survival rates as did adjuvant therapy when compared to no adjuvant therapy. Radiation and chemotherapy improved survival when compared to radiation alone.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1998
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