[Modern tendencies in the treatment of cervical cancer stage IB-IIA, prognostic factors--our and foreign experience]

Akush Ginekol (Sofiia). 2008;47(2):38-41.
[Article in Bulgarian]

Abstract

We tried to summarize our and foreign experience in the treatment of cervical cancer stage IB-IIA, as well as to examine and evaluate the prognostic factors in this field.

Material and methods: We tried to summarize our and foreign experience for 10 years period /from 1998 till 2008/ as we examined 1250 patients with cervical cancer stage IB-IIA.

Results: According to our results and most of the authors the preferred method for treatment of cervical cancer stage IB-IIA is the radical hysterectomy with or without chemo-radiation therapy. In patients with bulky lymph nodes we performed radical hysterectomy with dyssection only of these nudes, as in this way we converted the patient into patient with micrometastases. We introduced postoperative radiotherapy with "small field "of radiation. In our study we examined the most important prognostic factors as LVSI, the depth of invasion, the parametrial invasion and the hystological type of tumor.

Conclusions: When we summarized our and foreign experience in the field of radical hysterectomy with pelvic lymph nude dyssection in the treatment of cervical cancer stage IB-IIA we have produced an algorithm, which can be practically useful.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Algorithms
  • Combined Modality Therapy / methods
  • Combined Modality Therapy / trends
  • Disease-Free Survival
  • Female
  • Humans
  • Hysterectomy* / methods
  • Lymph Node Excision
  • Lymphatic Metastasis
  • Neoplasm Staging
  • Uterine Cervical Neoplasms / drug therapy
  • Uterine Cervical Neoplasms / pathology*
  • Uterine Cervical Neoplasms / surgery
  • Uterine Cervical Neoplasms / therapy*