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- Title
Is radical hysterectomy for early stage cervical cancer an outdated operation?
- Authors
Selman, T. J.; Luesley, D. M.; Murphy, D. J.; Mann, C. H.
- Abstract
Radical hysterectomy and pelvic lymphadenectomy is the standard surgical treatment for early stage cervical cancer. This operation is well recognised as having a higher morbidity and mortality rate than a simple hysterectomy. We studied the histology results of 131 patients who had standard surgery for cervical cancer to ascertain if a radical hysterectomy was required for adequate treatment. Of 110 (84%) patients with negative pelvic lymphadenopathy, only 9 (8%) had positive parametrial histology and all required adjuvant therapy independent of their parametrial histology. This study confirms that a less radical hysterectomy and pelvic lymphadenectomy provides adequate treatment and allows us to consider a more conservative, minimal access approach to the management of these patients.
- Subjects
HYSTERECTOMY; OPERATIVE surgery; CERVICAL cancer; THERAPEUTICS
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2005, Vol 112, Issue 3, p363
- ISSN
1470-0328
- Publication type
Article
- DOI
10.1111/j.1471-0528.2004.00397.x