Surgical intervention following multimodality therapy for advanced cervical cancer

Roger A. Potish, Leo B. Twiggs, Konald A. Prem, Linda F. Carson, Leon L. Adcock

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

From 1978 through 1986, 183 women with cervical carcinomas underwent pretreatment extraperitoneal surgical staging followed by definitive radiation therapy. Overall 10-year actuarial relapse-free and survival rates were both 64%. There were a 20.2% overall incidence and 31.6% actuarial incidence of patients with subsequent abdominal surgery. Of the 47 total surgical procedures, most frequent were 15 repairs of radiation-related bowel injury (11 patients), 11 colostomies for tumor-related obstruction or fistula and 10 explorations for possible exenteration. Only one exenteration could be performed. Other operations consisted of 5 hysterectomies, 3 negative explorations for suspected recurrence, 1 cholecystectomy, 1 small bowel obstruction following surgical staging, and 1 sigmoid resection for colon cancer. Seven patients had multiple operations. Logistic analysis revealed cervix size, pelvic node status, periaortic lymph node status, and thin physique to be significant predictors of overall recurrence, while cervix size was the only significant predictor of exploration for exenteration. Tumor-related colostomies and radiation complications tended to occur in lower and higher clinical stages, respectively. There was a trend toward greater survival in patients with surgery for radiation complications.

Original languageEnglish
Pages (from-to)175-180
Number of pages6
JournalGynecologic Oncology
Volume38
Issue number2
DOIs
StatePublished - Jan 1 1990
Externally publishedYes

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Uterine Cervical Neoplasms
Colostomy
Radiation
Recurrence
Cervix Uteri
Sigmoid Neoplasms
Incidence
Cholecystectomy
Therapeutics
Hysterectomy
Fistula
Neoplasms
Radiotherapy
Survival Rate
Lymph Nodes
Carcinoma
Survival
Wounds and Injuries

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Oncology

Cite this

Potish, R. A., Twiggs, L. B., Prem, K. A., Carson, L. F., & Adcock, L. L. (1990). Surgical intervention following multimodality therapy for advanced cervical cancer. Gynecologic Oncology, 38(2), 175-180. https://doi.org/10.1016/0090-8258(90)90036-K

Surgical intervention following multimodality therapy for advanced cervical cancer. / Potish, Roger A.; Twiggs, Leo B.; Prem, Konald A.; Carson, Linda F.; Adcock, Leon L.

In: Gynecologic Oncology, Vol. 38, No. 2, 01.01.1990, p. 175-180.

Research output: Contribution to journalArticle

Potish, RA, Twiggs, LB, Prem, KA, Carson, LF & Adcock, LL 1990, 'Surgical intervention following multimodality therapy for advanced cervical cancer', Gynecologic Oncology, vol. 38, no. 2, pp. 175-180. https://doi.org/10.1016/0090-8258(90)90036-K
Potish, Roger A. ; Twiggs, Leo B. ; Prem, Konald A. ; Carson, Linda F. ; Adcock, Leon L. / Surgical intervention following multimodality therapy for advanced cervical cancer. In: Gynecologic Oncology. 1990 ; Vol. 38, No. 2. pp. 175-180.
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