Simple Advertent Hysterectomy in the Presence of Invasive Cervical Cancer.
- Author:
Jae Kwan LEE
;
Jun Young HUR
;
Yong Kyun PARK
;
Soo Yong CHO
;
Ho Suk SAW
- Publication Type:Original Article
- Keywords:
Cervical cancer;
Simple hysterectomy;
Prognostic factors
- MeSH:
Adenocarcinoma;
Humans;
Hysterectomy*;
Multivariate Analysis;
Neoplasm, Residual;
Reoperation;
Retrospective Studies;
Survival Rate;
Uterine Cervical Neoplasms*
- From:Korean Journal of Obstetrics and Gynecology
2000;43(5):891-896
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To identify significant prognostic factors in patients undergoing simple hysterectomy in the presence of invasive cervical cancer, the records of 45 patients who had taken such a procedure between 1993 and 1997 were reviewed. Overall relapse-free survival and 5-year survival rates were 91.1 and 92.1%, respectively. Factors found to be significantly related to survival were the retrospectively determined stage(p=0.0000), the presence of residual disease(p=0.0001), and cell type(p=0.0000). By multivariate analysis, factor emerging as significantly detrimental to survival was the cell type. The presence of residual disease was a marginally significant factor(p=0.067). The expectations for survival of patients with residual tumor mass and/or with adenocarcinoma after simple hysterectomy appear to be markedly worse than those with others, so radical reoperation should be considered in those patients.
