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Statements

Subject Item
n2:RIV%2F00843989%3A_____%2F12%3A00102826%21RIV13-MZ0-00843989
rdf:type
n5:Vysledek skos:Concept
dcterms:description
AIMS: To evaluate the incidence of parametrial involvement in women with early-stage cervical cancer with tumour <20 mm and with negative sentinel lymph nodes (SLN). Methods: We reviewed the cases of all women who underwent radical hysterectomy and pelvic lymphadenectomy with SLN biopsy for invasive cervical cancer between April 2004 and December 2009. Parametrial involvement was defined as direct extension, nodal disease or spread through vascular channels. Results: From the 204 women who underwent radical surgery with SLN biopsy, 63 (FIGO stage IA2-10, IB1-53) met the inclusion criteria: tumour <20 mm in the largest diameter regardless of the depth of stromal invasion (less or more than half stromal invasion) and negative sentinel lymph nodes. Median age was 44.3 years (range 24-72). Lymph-vascular space invasion was present in 25 women. The histology identified squamous carcinoma in 50 women, adenocarcinoma in 11 women and adenosquamous carcinoma in two women. Tumour grade 1 occurred in 41, grade 2 in 16 and grade 3 in 6 of the cases. No parametrial involvement was observed. The false negative rate of SLN biopsy was 0%. CONCLUSION: No parametrial involvement was observed in women with early-stage cervical cancer with tumour <20 mm in diameter and negative sentinel lymph nodes regardless of the presence of lymph-vascular space invasion, histology subtype and grade of the tumour. Radical removal of the parametrium in this low-risk group is questionable. AIMS: To evaluate the incidence of parametrial involvement in women with early-stage cervical cancer with tumour <20 mm and with negative sentinel lymph nodes (SLN). Methods: We reviewed the cases of all women who underwent radical hysterectomy and pelvic lymphadenectomy with SLN biopsy for invasive cervical cancer between April 2004 and December 2009. Parametrial involvement was defined as direct extension, nodal disease or spread through vascular channels. Results: From the 204 women who underwent radical surgery with SLN biopsy, 63 (FIGO stage IA2-10, IB1-53) met the inclusion criteria: tumour <20 mm in the largest diameter regardless of the depth of stromal invasion (less or more than half stromal invasion) and negative sentinel lymph nodes. Median age was 44.3 years (range 24-72). Lymph-vascular space invasion was present in 25 women. The histology identified squamous carcinoma in 50 women, adenocarcinoma in 11 women and adenosquamous carcinoma in two women. Tumour grade 1 occurred in 41, grade 2 in 16 and grade 3 in 6 of the cases. No parametrial involvement was observed. The false negative rate of SLN biopsy was 0%. CONCLUSION: No parametrial involvement was observed in women with early-stage cervical cancer with tumour <20 mm in diameter and negative sentinel lymph nodes regardless of the presence of lymph-vascular space invasion, histology subtype and grade of the tumour. Radical removal of the parametrium in this low-risk group is questionable.
dcterms:title
What is the risk for parametrial involvement in women with early-stage cervical cancer with tumour <20 mm and with negative sentinel lymph nodes? What is the risk for parametrial involvement in women with early-stage cervical cancer with tumour <20 mm and with negative sentinel lymph nodes?
skos:prefLabel
What is the risk for parametrial involvement in women with early-stage cervical cancer with tumour <20 mm and with negative sentinel lymph nodes? What is the risk for parametrial involvement in women with early-stage cervical cancer with tumour <20 mm and with negative sentinel lymph nodes?
skos:notation
RIV/00843989:_____/12:00102826!RIV13-MZ0-00843989
n5:predkladatel
n17:ico%3A00843989
n3:aktivita
n11:V
n3:aktivity
V
n3:cisloPeriodika
6
n3:dodaniDat
n7:2013
n3:domaciTvurceVysledku
n6:4867459 n6:6196632 n6:1946749 n6:8163596 n6:5493544 n6:7095066
n3:druhVysledku
n15:J
n3:duvernostUdaju
n14:S
n3:entitaPredkladatele
n8:predkladatel
n3:idSjednocenehoVysledku
180884
n3:idVysledku
RIV/00843989:_____/12:00102826
n3:jazykVysledku
n18:eng
n3:klicovaSlova
cervical cancer; nonradical surgery; parametrial involvement; sentinel lymph node
n3:klicoveSlovo
n4:cervical%20cancer n4:nonradical%20surgery n4:parametrial%20involvement n4:sentinel%20lymph%20node
n3:kodStatuVydavatele
AU - Australské společenství
n3:kontrolniKodProRIV
[FB6290793E30]
n3:nazevZdroje
The Australian & New Zealand journal of obstetrics & gynaecology
n3:obor
n16:FK
n3:pocetDomacichTvurcuVysledku
6
n3:pocetTvurcuVysledku
6
n3:rokUplatneniVysledku
n7:2012
n3:svazekPeriodika
52
n3:tvurceVysledku
Šimetka, Ondřej Kraft, Otakar Ševčík, Libor Dvořáčková, Jana Gráf, Petar Klát, Jaroslav
n3:wos
000312247600008
s:issn
0004-8666
s:numberOfPages
5
n13:doi
10.1111/ajo.12015