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  • Background: It was the aim of our study to analyze oncological outcome and prognostic parameters in patients with early stages cervical cancer after tailored and well-standardized surgical treatment with an adequate follow-up. Methods: Oncological outcome and prognostic parameters were evaluated in a group of 192 patients with cervical cancer stages IA2 to 2B who had undergone radical hysterectomy (n = 171), radical parametrectomy (n = 12), or radical trachelectomy (n = 9). Procedures were classified as type B (n = 72), type C1 nerve sparing (n = 103), or type C2 (n = 17). Results: Event-free and overall 5-year survivals probabilities reached 92.7% (confidence interval, 89.5%-95.9 %) and 94.1% (confidence interval, 90.9%-97.3 %). There was only 1 isolated pelvic recurrence found of the total of 10 recurrences. Adjuvant radiotherapy was given to only 22% of patients. The most significant independent prognostic parameters in stage IB tumors were lymph node status, histological type, and tumor volume, whereas in stage II, the parameters included histological type and tumor volume, the latter being inversely related to the prognosis. Conclusions: We have shown an excellent prognosis, especially local control, after tailored surgical treatment of stages IA2 to IIB of cervical cancer, with low prevalence of adjuvant treatment. Different prognostic parameters were observed for stages IB1/IB2 and IIA/B.
  • Background: It was the aim of our study to analyze oncological outcome and prognostic parameters in patients with early stages cervical cancer after tailored and well-standardized surgical treatment with an adequate follow-up. Methods: Oncological outcome and prognostic parameters were evaluated in a group of 192 patients with cervical cancer stages IA2 to 2B who had undergone radical hysterectomy (n = 171), radical parametrectomy (n = 12), or radical trachelectomy (n = 9). Procedures were classified as type B (n = 72), type C1 nerve sparing (n = 103), or type C2 (n = 17). Results: Event-free and overall 5-year survivals probabilities reached 92.7% (confidence interval, 89.5%-95.9 %) and 94.1% (confidence interval, 90.9%-97.3 %). There was only 1 isolated pelvic recurrence found of the total of 10 recurrences. Adjuvant radiotherapy was given to only 22% of patients. The most significant independent prognostic parameters in stage IB tumors were lymph node status, histological type, and tumor volume, whereas in stage II, the parameters included histological type and tumor volume, the latter being inversely related to the prognosis. Conclusions: We have shown an excellent prognosis, especially local control, after tailored surgical treatment of stages IA2 to IIB of cervical cancer, with low prevalence of adjuvant treatment. Different prognostic parameters were observed for stages IB1/IB2 and IIA/B. (en)
Title
  • Local Control after Tailored Surgical Treatment of Early Cervical Cancer
  • Local Control after Tailored Surgical Treatment of Early Cervical Cancer (en)
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  • Local Control after Tailored Surgical Treatment of Early Cervical Cancer
  • Local Control after Tailored Surgical Treatment of Early Cervical Cancer (en)
skos:notation
  • RIV/00216208:11110/11:10147!RIV12-MZ0-11110___
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(NS10037)
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 209787
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11110/11:10147
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Cervical cancer; Surgical treatment; Radical hysterectomy; Local control; Survival; gynecologic-oncology-group; squamous-cell carcinoma; radical hysterectomy; stage-ib; transrectal ultrasound; class-iii; lymphadenectomy; adenocarcinoma; identification; radiotherapy (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [684C98897CC6]
http://linked.open...i/riv/nazevZdroje
  • International Journal of Gynecological Cancer
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 21
http://linked.open...iv/tvurceVysledku
  • Cibula, David
  • Dušek, L.
  • Fischerová, Daniela
  • Zikán, Michal
  • Freitag, Pavel
  • Pinkavová, Ivana
  • Sláma, Jiří
  • Dundr, Pavel
http://linked.open...ain/vavai/riv/wos
  • 000290250600017
issn
  • 1048-891X
number of pages
http://localhost/t...ganizacniJednotka
  • 11110
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