The Abandoned Radical Hysterectomy for Cervical Cancer: Clinical Predictors and Outcomes
Objective. Cervical cancer patients who had an abandoned radical hysterectomy were evaluated for preoperative clinical predictors, complication rates, and outcomes. Study Design. IRB approval was obtained for this retrospective analysis and chart review was performed. Results. From 268 women with...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2010/743794 |
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| author | Heidi J. Gray Erin Seifert Victor G. Sal y Rosas Katrina F. Nicandri Wui-Jin Koh Barbara A. Goff |
| author_facet | Heidi J. Gray Erin Seifert Victor G. Sal y Rosas Katrina F. Nicandri Wui-Jin Koh Barbara A. Goff |
| author_sort | Heidi J. Gray |
| collection | DOAJ |
| description | Objective. Cervical cancer patients who had an abandoned radical hysterectomy were evaluated for preoperative clinical predictors, complication rates, and outcomes.
Study Design. IRB approval was obtained for this retrospective analysis and chart review was performed.
Results. From 268 women with early-stage (IA2 to IIA) cervical cancer, 19 (7%) had an abandoned hysterectomy for finding grossly positive lymph nodes (84%) or pelvic spread of tumor (16%). No clinical characteristics clearly identified women preoperatively at risk of having an abandoned hysterectomy. In the abandoned group, 26% suffered major morbidities, compared to 34% in the completed group (OR 0.69, [CI 0.16-2.57], 𝑃=.789). Thirty-seven percent recurred in the abandoned group, compared to 18% in the completed group (𝑃=.168). Overall survival in the abandoned group was 73% versus 80% in the completed group (𝑃=.772).
Conclusion. The practice of abandoning a planned radical hysterectomy for unexpected metastatic disease may not worsen the outcome. |
| format | Article |
| id | doaj-art-e46549cd906f48f5966bb278fd958eba |
| institution | OA Journals |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-e46549cd906f48f5966bb278fd958eba2025-08-20T02:21:34ZengWileyObstetrics and Gynecology International1687-95891687-95972010-01-01201010.1155/2010/743794743794The Abandoned Radical Hysterectomy for Cervical Cancer: Clinical Predictors and OutcomesHeidi J. Gray0Erin Seifert1Victor G. Sal y Rosas2Katrina F. Nicandri3Wui-Jin Koh4Barbara A. Goff5Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA 98195, USADepartment of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA 98195, USADepartment of Biostatistics, University of Washington, Seattle, WA 98195, USADepartment of Obstetrics and Gynecology, University of Rochester School of Medicine, Rochester, NY 14642, USADepartment of Radiation Oncology, University of Washington, Seattle, WA 98195, USADepartment of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA 98195, USAObjective. Cervical cancer patients who had an abandoned radical hysterectomy were evaluated for preoperative clinical predictors, complication rates, and outcomes. Study Design. IRB approval was obtained for this retrospective analysis and chart review was performed. Results. From 268 women with early-stage (IA2 to IIA) cervical cancer, 19 (7%) had an abandoned hysterectomy for finding grossly positive lymph nodes (84%) or pelvic spread of tumor (16%). No clinical characteristics clearly identified women preoperatively at risk of having an abandoned hysterectomy. In the abandoned group, 26% suffered major morbidities, compared to 34% in the completed group (OR 0.69, [CI 0.16-2.57], 𝑃=.789). Thirty-seven percent recurred in the abandoned group, compared to 18% in the completed group (𝑃=.168). Overall survival in the abandoned group was 73% versus 80% in the completed group (𝑃=.772). Conclusion. The practice of abandoning a planned radical hysterectomy for unexpected metastatic disease may not worsen the outcome.http://dx.doi.org/10.1155/2010/743794 |
| spellingShingle | Heidi J. Gray Erin Seifert Victor G. Sal y Rosas Katrina F. Nicandri Wui-Jin Koh Barbara A. Goff The Abandoned Radical Hysterectomy for Cervical Cancer: Clinical Predictors and Outcomes Obstetrics and Gynecology International |
| title | The Abandoned Radical Hysterectomy for Cervical Cancer: Clinical Predictors and Outcomes |
| title_full | The Abandoned Radical Hysterectomy for Cervical Cancer: Clinical Predictors and Outcomes |
| title_fullStr | The Abandoned Radical Hysterectomy for Cervical Cancer: Clinical Predictors and Outcomes |
| title_full_unstemmed | The Abandoned Radical Hysterectomy for Cervical Cancer: Clinical Predictors and Outcomes |
| title_short | The Abandoned Radical Hysterectomy for Cervical Cancer: Clinical Predictors and Outcomes |
| title_sort | abandoned radical hysterectomy for cervical cancer clinical predictors and outcomes |
| url | http://dx.doi.org/10.1155/2010/743794 |
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