Patterns of Distant Failure in Carcinoma Cervix- A Regional Cancer Centre Experience
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 10
Abstract
Background: Cervical cancer is the most common malignancy among Indian females and is the leading cause of death. Patients with locally advanced cervical cancer after concurrent chemo radiation distant failure occur in many cases. Aim: To study the age distribution, clinical profile, sites, patterns, & duration of development distant failure in carcinoma cervix after completion of primary treatment. Materials: Retrospective study from the treatment records of patients of carcinoma cervix undergoing treatment at AHRCC. From January 2013 to June 2016, 91 patients of metastatic carcinoma cervix were selected & analysed retrospectively. Result: Majority of patients were from 5th and 6th decade followed by 7th decade. Most of them were in stage IIIB followed by stage II. Squamous cell histology was the most common entity. Commonly presented with non-regional nodal metastases out of which para-aortic lymph node metastases predominates. Following nodal metastases lungs was the second most site. Liver, bone and brain metastases were also seen. Most of the patients presented with metastasis within a period of 2 years from initial treatment time. Conclusion: Distant failure in carcinoma cervix depends upon the initial stage, age of presentation and histological findings. Though cervical carcinoma frequently spreads to the para-aortic nodes, lungs, liver and other uncommon sites are also reported. It necessitates a stringent follow up during period of first two years
Authors and Affiliations
Dr Sanjukta Padhi
Keywords
Related Articles
- EP ID EP214581
- DOI -
- Views 71
- Downloads 0
Diagnosis of Pneumonia in Children with Severe Acute Malnutrition, Validation of WHO Recommended Criteria and Pulse-Oximetry
Aim: To find incidence of clinical pneumonia viz a viz radiologically confirmed pneumonia in children with severe acute malnutrition. Materials and Methods: It was a hospital based prospective analytical study carried ou...
Clinical Assessment, Management and Histo-Pathological Study of Orbital Tumours – A Prospective Clinical Study
Aim of this study is to assess and categorize , the clinico-pathological distribution, management, surgical approaches followed in various types of orbital tumours which were encountered in our practice from October 1994...
A Comparative Study of Laparoscopic vs. Open Cholecystectomy in a Northwestern Medical School of Bihar
Introduction: Gallstones are common in Indian population and its treatment has shown a decisive shift from open to minimally invasive route. Undoubtedly, laparoscopy requires longer and steeper learning curve and incurs...
Emergency peripartum Hysterectomy: A Retrospective Study from a Teaching Hospital in Eastern India over Five Years
Background: Emergency peripartum hysterectomy (EPH), although rare in modern obstetrics, remains a lifesaving procedure in cases of severe haemorrhage. Objective: To review the cases of emergency peripartum hysterectomy...
Pterygium Excision and Conjunctival Autograft – A Study
From July 2011 to December 2013, we have treated 50 patients presenting with pterygium in 54 eyes at Regional Eye Hospital, Kurnool. 48 patients were presented with primary pterygium & 6 had recurrent presentation. Most...