Adjuvant hysterectomy after radical radiation in cervical cancers - are we still justified? A prospective analytical study
Journal Title: International Journal of Clinical Obstetrics and Gynaecology - Year 2018, Vol 2, Issue 3
Abstract
Cervical cancer remains the most common female gynecological cancer in India, with squamous cell carcinoma being the commonest histology. Early stage disease is treated with primary surgery or radiation [7], while locally advanced stage and bulky diseases are treated with radical radiation with concurrent chemotherapy [1]. The concept is always single radical modality and never a combined modality, unlike other malignancies in advanced stages. We have conducted a prospective analytical study, where we included patients who were treated with radical radiation, underwent adjuvant hysterectomy(Type 1 with pelvic node sampling) in our tertiary care referral center for oncology, from January 2016 to March 2018.Total of 72 cases were analysed, after meeting the inclusion and exclusion criteria. Results: Of the 72 patients analysed, 11 patients had residual invasive cancer in cervix, 17 patients had severe dysplasia and 2 patients had pelvic node positivity. Conclusion: Our study brings a nearly 18percent discordance between clinical and pathological response after radical radiation in cancer cervix which is significant. It is time for us, to really think about the role for adjuvant hysterectomy in carefully selected cases in order to achieve cure and prevent morbidity and mortality.
Authors and Affiliations
Dr. Maheswaran Satishkumar, Dr. K Jeyanthi Prasad, M Ramesh
Keywords
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