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Safety evaluation of abdominal trachelectomy in patients with cervical tumors ≥2 cm: a single-institution, retrospective analysis
- Source :
- Journal of Gynecologic Oncology
- Publication Year :
- 2019
-
Abstract
- Objective: For oncologic safety, vaginal radical trachelectomy is generally performed only in patients with cervical cancers smaller than 2 cm. However, because inclusion criteria for abdominal trachelectomy are controversial, we evaluated the safety of abdominal trachelectomy for cervical cancers ≥2 cm. / Methods: We began performing abdominal trachelectomies at our institution in 2005, primarily for squamous cell carcinoma ≤3 cm or adenocarcinoma/adenosquamous carcinoma ≤2 cm. If a positive sentinel lymph node or cervical margin was diagnosed intraoperatively by frozen section, the trachelectomy was converted to a hysterectomy. Medical records of these patients were reviewed retrospectively. Patients who had undergone simple abdominal trachelectomy were excluded from this study. / Results: We attempted trachelectomy in 212 patients. Among the 135 patients with tumors
- Subjects :
- Adult
medicine.medical_specialty
Adenosquamous carcinoma
medicine.medical_treatment
Trachelectomy
Sentinel lymph node
Uterine Cervical Neoplasms
Cervix
03 medical and health sciences
Young Adult
0302 clinical medicine
Medicine
Humans
In patient
Neoplasm Staging
Retrospective Studies
Frozen section procedure
030219 obstetrics & reproductive medicine
Hysterectomy
business.industry
Mortality rate
Obstetrics and Gynecology
General Medicine
medicine.disease
Treatment Outcome
Oncology
030220 oncology & carcinogenesis
Adenocarcinoma
Female
Original Article
Radiology
Neoplasm Recurrence, Local
business
Subjects
Details
- ISSN :
- 20050399
- Volume :
- 31
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of gynecologic oncology
- Accession number :
- edsair.doi.dedup.....999c13520b62d816157251f2f751e6cf