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Year:
1998
| Volume: 6
| Issue: 1
| Pages: 19-20
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Actual Problem |
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THE ROLE OF CONSERVATIVE SURGERY IN CERVICAL CANCER
K. Shanti RAJU, Omer DEVAJA |
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DOI:
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Abstract: |
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A number of tumour-associated characteristics have been reported to predict outcome in the management of early cervical carcinoma. Lymph vascular space involvement depth of invasion, tumour grade and diameter of the tumour are all associated with increased lymph nodal involvement which, in turn, is the most important predictor of 5 year survival. Following the latest sub-staging of FIGO stages 1a and 1b, it is increasingly plausible to consider conservative surgical treatment in young women wishing to preserve future fertility taking into consideration the prognostic factors. Cone biopsy of cervix has been used in the past as fertility preserving procedure in the treatment of women with Stage 1a carcinoma of the cervix. With the introduction of local radical surgery, i.e. radical trachelectomy and pelvic lymphadenectomy, fertility conservation is possible in woman with both Stage 1a with lymph vascular invasion and early Stage 1b carcinoma of cervix. However, the criteria for conservative management should be strictly adhered to. |
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Key words:
Cervical cancer; Conservative surgery; Preservation of fertility |
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