5,060 results match your criteria Radical Hysterectomy


The security of radical trachelectomy in the treatment of IA-IIA cervical carcinoma requires further evaluation: updated meta-analysis and trial sequential analysis.

Arch Gynecol Obstet 2019 Apr 22. Epub 2019 Apr 22.

Department of Obstetrics and Gynecology, Beijing Chao-Yang Hospital, Capital Medical University, No. 8, North Road of Workers Stadium, Chaoyang District, Beijing, 100020, China.

Purpose: The aim of this study was to assess the security of radical trachelectomy (RT) in the treatment of IA-IIA cervical carcinoma and conducted a new survey based upon the results of previous researches.

Methods: The PMC, PubMed, Web of Science, Cochrane and EMBASE databases were retrieved to collect prospective clinical controlled trials (CCTs) published from 1984 to 2018. The oncologic outcomes were evaluated by meta-analysis, trial sequence analysis (TSA) and statistical analysis. Read More

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http://link.springer.com/10.1007/s00404-019-05141-9
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http://dx.doi.org/10.1007/s00404-019-05141-9DOI Listing
April 2019
1 Read

A GCIG international survey: clinical practice patterns of sentinel lymph node biopsies in cervical cancer.

Arch Gynecol Obstet 2019 Apr 21. Epub 2019 Apr 21.

Department of Gynecology With Center for Oncological Surgery, Charité Universtitätmedizin, Charité Platz 1, 10117, Berlin, Germany.

Purpose: To evaluate the practice patterns among centers and physicians worldwide regarding sentinel lymph node biopsies (SLNB) in cervical cancer (CC) patients.

Method: A validated 35-item questionnaire regarding SLNB in CC supported by the Gynecologic Cancer Intergroup (GCIG), and sponsored by the North-Eastern German Society of Gynaecologic-Oncology (NOGGO) was sent to all major gynecological cancer societies across the globe for further distribution from October 2015 and continued for a period of 7 months.

Results: One hundred and sixty-one institutions from around the world participated. Read More

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http://link.springer.com/10.1007/s00404-019-05164-2
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http://dx.doi.org/10.1007/s00404-019-05164-2DOI Listing
April 2019
1 Read

Feasibility of early postoperative bladder catheter removal without prior bladder-training exercises after laparoscopic nerve sparing radical hysterectomy.

J Obstet Gynaecol 2019 Apr 22:1-5. Epub 2019 Apr 22.

b Department of Gynecologic Oncology, Gynecologic Oncology , Catholic University of the Sacred Heart , Rome , Italy.

The aim of the study is to evaluate the feasibility of early postoperative bladder catheter removal without prior bladder-training exercises after laparoscopic nerve sparing radical hysterectomy (LNSRH). The post-operative bladder catheterisation period of 30 patients who underwent LNSRH at two institutes in Egypt and Italy were prospectively evaluated with postoperative drainage of the bladder through a Foley catheter for two days without performing bladder-training exercise. The median duration for postoperative bladder catheterisation was 3. Read More

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http://dx.doi.org/10.1080/01443615.2019.1584883DOI Listing

Preoperative prediction of pelvic lymph nodes metastasis in early-stage cervical cancer using radiomics nomogram developed based on T2-weighted MRI and diffusion-weighted imaging.

Eur J Radiol 2019 May 20;114:128-135. Epub 2019 Mar 20.

Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, No.277, West Yanta Road, Xi'an, 710061, Shaanxi, People's Republic of China. Electronic address:

Objective: To explore an MRI-based radiomics nomogram for preoperatively predicting of pelvic lymph node (PLN) metastasis in patients with early-stage cervical cancer (ECC).

Methods: Ninety-six patients with ECC were enrolled in this study. All patients underwent T2WI and DWI scans before radical hysterectomy with PLN dissection surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X193000
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http://dx.doi.org/10.1016/j.ejrad.2019.01.003DOI Listing
May 2019
2 Reads

Predictive factors of unexpected lymphatic drainage pathways in early-stage cervical cancer.

Gynecol Oncol 2019 Apr 16. Epub 2019 Apr 16.

Gynecologic and Breast Oncologic Surgery Department, Georges Pompidou European Hospital, Paris, France; Paris Descartes University, Sorbonne Paris Cité, Faculty of Medicine, Paris, France.

Objectives: The purpose of this study was to describe sentinel lymph nodes (SLN) topography in patients with early-stage cervical cancer and to determine factors associated with atypical lymphatic drainage pathway (LDP).

Methods: We analyzed the data of two prospective multicentric trials on SLN biopsy for cervical cancer (SENTICOL I and II) in women undergoing surgery for early-stage cervical cancer. SLN detection was realized with a combined labeling technique (Patent blue and radioactive tracer). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00908258193050
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http://dx.doi.org/10.1016/j.ygyno.2019.04.008DOI Listing
April 2019
1 Read

Analysis of preventability of malignancy related maternal death from the nationwide registration syste19m of maternal deaths in Japan.

J Matern Fetal Neonatal Med 2019 Apr 18:1-191. Epub 2019 Apr 18.

b Department of Obstetrics and Gynecology , Mie University School of Medicine , Mie , Japan.

Objective: We reviewed malignancy related maternal deaths in Japan to ascertain if there were avoidable factors.

Methods: Malignancy related maternal death in Japan reported to the Maternal Death Exploratory Committee, from 2010 to 2016 inclusive.

Results: There were 12 cases of maternal death caused by malignancy. Read More

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http://dx.doi.org/10.1080/14767058.2019.1609930DOI Listing
April 2019
1 Read

Cervical cancer treatment in Haiti: A vertically-integrated model for low-resource settings.

Gynecol Oncol Rep 2019 May 16;28:71-75. Epub 2019 Mar 16.

Innovating Health International, Port-au-Prince, Haiti.

•Raising awareness is critical to any cancer program and through our outreach events we were able to educate 33,258 women.•We have treated over 4500 women with VIA and cryotherapy or thermocoagulation.•At least 30 of our patients are currently receiving individualized chemotherapy, whether neoadjuvant, adjuvant or palliative. Read More

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http://dx.doi.org/10.1016/j.gore.2019.03.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434067PMC
May 2019
1 Read

Uterine-preserving pelvic organ prolapse surgery using the UPHOLD LITE vaginal support system: The outcomes of 291 patients.

Medicine (Baltimore) 2019 Apr;98(14):e15086

Department of Obstetrics and Gynecology.

This article aims to evaluate the safety and outcome of women with pelvic organ prolapse (POP) treated by a minimally invasive bilateral sacrospinous hysteropexy (UPHOLD LITE Vaginal Support System, Boston Scientific) without concomittent anti-incontinence surgery.This retrospective study was conducted between 2014 and 2016. Evaluated items included surgical parameter and postoperative outcome. Read More

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http://dx.doi.org/10.1097/MD.0000000000015086DOI Listing
April 2019
1 Read

Extraperitoneal radical trachelectomy with pelvic lymphadenectomy.

Int J Gynecol Cancer 2019 Mar 26. Epub 2019 Mar 26.

Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Japan

Radical trachelectomy combined with pelvic lymphadenectomy has been used to treat patients with early-stage cervical cancer who wish to preserve their fertility. Vaginal, abdominal, laparoscopic, and robotic approaches have been employed during this procedure, but all cause peritoneal damage, which could result in periadnexal adhesion. As periadnexal adhesion can lead to female infertility due to restricted sweeping of the fimbria over the ovary, it is important to minimize peritoneal damage during the fertility-preserving surgery. Read More

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http://dx.doi.org/10.1136/ijgc-2018-000196DOI Listing
March 2019
1 Read

Less radical surgery for women with early stage cervical cancer: Our experience on radical vaginal trachelectomy and laparoscopic pelvic lymphadenectomy.

Gynecol Oncol Rep 2019 May 11;28:65-67. Epub 2019 Mar 11.

East Suffolk and North Essex NHS Trust, Ipswich NHS Trust, Gynecological Oncology Department, Heath Road, IP4 5PD Ipswich, Suffolk, England, UK.

We report the use of radical vaginal trachelectomy (RVT) with pelvic laparoscopic lymphadenectomy (LPL) in patients with early stages cervical cancer (FIGO stage IA2-IB1). This is a case series prospectively collected over a 6-year period (2011-2017) at the Ipswich hospital, UK. Cases were compared to a group of women with a similar stage of cervical cancer, but treated with radical hysterectomy (RH) and pelvic lymphadenectomy (PL). Read More

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http://dx.doi.org/10.1016/j.gore.2019.03.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416726PMC
May 2019
1 Read

Predictive factors of severe perioperative morbidity of radical hysterectomy with lymphadenectomy in early-stage cervical cancer: A French prospective multicentric cohort of 248 patients.

Eur J Surg Oncol 2019 04 17;45(4):650-658. Epub 2018 Oct 17.

Gynecologic and Breast Oncologic Surgery Department, Georges Pompidou European, Hospital, Paris, France; Paris Descartes University, Sorbonne Paris Cité, Faculty of Medicine, Paris, France.

Objective: The purpose of this study was to assess the postoperative morbidity after radical hysterectomy (RH) for early-stage cervical cancer and to determine risk factors of severe perioperative morbidity.

Methods: Data of two prospective trials on sentinel node biopsy for cervical cancer (SENTICOL I & II) were analysed. Patients having a radical hysterectomy were included between 2005 and 2012 from 25 French oncologic centers. Read More

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http://dx.doi.org/10.1016/j.ejso.2018.10.057DOI Listing
April 2019
2 Reads

Clinical outcomes after isolated pelvic failure in cervical cancer patients treated with definitive radiation.

Gynecol Oncol 2019 Mar 21. Epub 2019 Mar 21.

Department of Radiation Oncology, Washington University School of Medicine, United States of America. Electronic address:

Purpose: To describe clinical outcomes in patients with isolated pelvic failures after definitive radiation treatment for cervical cancer.

Methods And Materials: Cervical cancer patients with isolated pelvic failure after definitive radiation with brachytherapy boost were identified in a tertiary academic center database from 1997 to 2016. All patients received an FDG-PET scan prior to their initial treatment and at the time of their first recurrence. Read More

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http://dx.doi.org/10.1016/j.ygyno.2019.03.104DOI Listing
March 2019
2 Reads

SENTICOL III: an international validation study of sentinel node biopsy in early cervical cancer. A GINECO, ENGOT, GCIG and multicenter study.

Int J Gynecol Cancer 2019 Mar 20. Epub 2019 Mar 20.

Gynecologic Oncology, CCTG, Fondation du CHU de Quebec, Quebec City, Quebec, Canada.

Background: Radical hysterectomy and complete pelvic lymphadenectomies are the most commonly performed procedures for women with early-stage cervical cancer. Sentinel lymph node (SLN) mapping could be an alternative to routine pelvic lymphadenectomy, aiming to diagnose accurately nodal extension and decrease lymphatic morbidity.

Primary Objective: To compare 3-year disease-free survival and health-related quality of life after SLN biopsy or SLN biopsy + pelvic lymphadenectomy in early cervical cancer. Read More

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http://dx.doi.org/10.1136/ijgc-2019-000332DOI Listing
March 2019
7 Reads

The change in landscape after a new landmark is constructed: Radical hysterectomy for early cervical cancer and Minimally Invasive Surgery.

Authors:
Mario M Leitao

Gynecol Oncol 2019 04;153(1):1-2

Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065.

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http://dx.doi.org/10.1016/j.ygyno.2019.03.009DOI Listing
April 2019
1 Read

[Comparative study of three-dimensional versus two-dimensional laparoscopic C1 radical hysterectomy for cervical cancer].

Zhonghua Fu Chan Ke Za Zhi 2019 Mar;54(3):173-178

Department of Gynecologic Oncology, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100021, China.

To compare the clinical effects and the subjective perception of surgeons with three-dimensional (3D) and two-dimensional (2D) laparoscopic C1 radical hysterectomy surgeries for cervical cancer. The retrospective cohort study was conducted. The clinicopathological data of 101 patients with cervical cancer who received C1 laparoscopic radical hysterectomy (C1-LRH) surgery from June 2015 to August 2017 were collected. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-567x.2019.03.006DOI Listing
March 2019
2 Reads

Feasibility and outcome of total laparoscopic radical hysterectomy with no-look no-touch technique for FIGO IB1 cervical cancer.

J Gynecol Oncol 2019 May;30(3):e71

Department of Gynecologic Oncology, Cancer Institute Hospital, Tokyo, Japan.

Objectives: Intraoperative tumor manipulation and dissemination may possibly compromise survival of women with early-stage cervical cancer who undergo minimally-invasive radical hysterectomy (RH). The objective of the study was to examine survival related to minimally-invasive RH with a "no-look no-touch" technique for clinical stage IB1 cervical cancer.

Methods: This retrospective study compared patients who underwent total laparoscopic radical hysterectomy (TLRH) with no-look no-touch technique (n=80) to those who underwent an abdominal radical hysterectomy (ARH; n=83) for stage IB1 (≤4 cm) cervical cancer. Read More

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http://dx.doi.org/10.3802/jgo.2019.30.e71DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424854PMC
May 2019
8 Reads

Impact of nodal status and treatment strategy on overall survival in advanced stage cervical cancer.

J Cancer Res Clin Oncol 2019 Mar 18. Epub 2019 Mar 18.

Tumor Center, University of Regensburg, Regensburg, Germany.

Purpose: The lack of prognostic data impedes implementation of optimal therapy for cervical cancer. For instance, recommended therapy for FIGO IIB cervical cancer is radical hysterectomy or radiochemotherapy. To enlighten different therapeutic approaches, we investigated the benefit of individual therapies or combination thereof in patients with or without infested lymph nodes. Read More

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http://dx.doi.org/10.1007/s00432-019-02890-7DOI Listing
March 2019
5 Reads

Identifying Preoperative Factors Associated with Nonresponders in Women Undergoing Comprehensive Surgical Treatment for Endometriosis.

J Minim Invasive Gynecol 2019 Mar 15. Epub 2019 Mar 15.

Department of Obstetrics and Gynaecology (Mr. Kent), Royal Surrey County University NHS Hospital Trust, Guildford, United Kingdom.

Study Objective: To examine whether existing quality of health outcome measures can be used to predict or have an association with nonresponse surgery for endometriosis.

Design: Retrospective cohort study.

Settings: Single endometriosis referral center. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.03.007DOI Listing
March 2019
6 Reads

Neurovascular and lymphatic vessels distribution in uterine ligaments based on a 3D reconstruction of histological study: to determine the optimal plane for nerve-sparing radical hysterectomy.

Arch Gynecol Obstet 2019 May 14;299(5):1459-1465. Epub 2019 Mar 14.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, No. 1838, Guangzhou Avenue, Guangzhou, 510515, China.

Objective: To present the distribution of neurovascular and lymphatic vessels in uterine ligaments using 3D models based on the pathological staining of serial 2D sections of postoperative specimens.

Methods: Serial transverse sections of fresh uterine ligaments from a patient with stage IB1 cervical squamous cell carcinoma were studied using the computer-assisted anatomic dissection (CAAD) technique. The sections were stained with hematoxylin and eosin, Weigert elastic fibers, D2-40 and immunostainings (sheep anti-tyrosine hydroxylase and rabbit anti-vasoactive intestinal peptide). Read More

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http://link.springer.com/10.1007/s00404-019-05108-w
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http://dx.doi.org/10.1007/s00404-019-05108-wDOI Listing
May 2019
7 Reads

Squamous cell carcinoma transformation in mature cystic teratoma of the ovary: a systematic review.

BMC Cancer 2019 Mar 11;19(1):217. Epub 2019 Mar 11.

Department of Obstetrics and Gynecology, Qilu Hospital, Shandong University, 107 West Wenhua Road, Ji'nan, Shandong, 250012, People's Republic of China.

Background: 0.17-2% of mature cystic teratoma of the ovary (MCTO) undergo malignant transformation, of which 80% are squamous cell carcinoma (SCC) transformation in MCTO. We aim to investigate the clinical characteristics and treatment of SCC transformation in MCTO METHODS: We systematically searched PubMed database and individual patient data about SCC transformation in MCTO were extracted. Read More

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http://dx.doi.org/10.1186/s12885-019-5393-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417039PMC
March 2019
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Intravascular (post-hysterectomy) leiomyoma (IVL) as late tumor thrombus within the inferior vena cava (IVC)-A rare case primarily imposing as IVC thrombus originating from left renal vein after former left nephrectomy status.

Pathol Res Pract 2019 Feb 28. Epub 2019 Feb 28.

Division of Vascular Surgery, Dept. of General, Abdominal, Vascular and Transplant Surgery, University Hospital, Otto-von-Guericke University at Magdeburg, Germany. Electronic address:

Introduction: Intravascular leiomyoma is a rare type of myoma. It was firstly described by Birch-Hirschfeld in 1896, however, its intracardiac subtype was firstly reported by Durck in 1907. Most patients are asymptomatic. Read More

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http://dx.doi.org/10.1016/j.prp.2019.02.009DOI Listing
February 2019
3 Reads

Comparative outcomes between robotic and abdominal radical hysterectomy for IB1 cervical cancer: Results from a single high volume institution.

Gynecol Oncol 2019 Mar 6. Epub 2019 Mar 6.

Division of Gynecologic Oncology, University of Alabama at Birmingham, United States of America.

Objective: To compare the perioperative morbidity and survival between abdominal radical hysterectomy (ARH) and robotic radical hysterectomy (RRH).

Methods: A retrospective cohort of patients undergoing radical hysterectomy for cervical cancer from 2010 to 2016 was identified. Patients with stage IB1 cervical cancer were included and were grouped by ARH vs. Read More

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http://dx.doi.org/10.1016/j.ygyno.2019.03.001DOI Listing
March 2019
1 Read

Predictors for pathological parametrial invasion in clinical stage IIB cervical cancer.

Eur J Surg Oncol 2019 Feb 18. Epub 2019 Feb 18.

Department of Obstetrics and Gynecology, Iwate Medical University, Iwate, Japan.

Objective: To examine predictors of pathological parametrial invasion in clinical stage IIB cervical cancer, and to examine prognostic factors in pathological stage IIB disease.

Methods: This study is an ancillary analysis of a nation-wide retrospective cohort examining 6,003 clinical stage IB-IIB cervical cancers. Women with clinical stage IIB disease who underwent primary radical hysterectomy with lymphadenectomy were examined (n = 714). Read More

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http://dx.doi.org/10.1016/j.ejso.2019.02.019DOI Listing
February 2019
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Adenocarcinoma of the uterine cervix: Pathologic features, treatment options, clinical outcome and prognostic variables.

Crit Rev Oncol Hematol 2019 Mar 19;135:103-114. Epub 2019 Jan 19.

Department of Clinical and Experimental Medicine, Division of Gynecology and Obstetrics, University of Pisa, Italy.

Adenocarcinoma accounts for 10-25% of all cervical cancers, and its relative and absolute rate has raised over the past decades. Most, but not all the authors, reported that adenocarcinoma has a greater propensity to lymph node, ovarian and distant metastases and a worse prognosis compared with squamous cell carcinoma. However, whether histologic type is an independent prognostic factor is still a debated issue. Read More

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http://dx.doi.org/10.1016/j.critrevonc.2019.01.006DOI Listing
March 2019
3 Reads

Additional benefit of minimally invasive surgery to improve functional outcomes after radical hysterectomy.

Authors:
Jeong Yeol Park

J Gynecol Oncol 2019 Mar;30(2):e64

Department of Obstetrics and Gynecologic, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

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http://dx.doi.org/10.3802/jgo.2019.30.e64DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393644PMC
March 2019
1 Read

Laparoscopic Radical Hysterectomy with Enclosed Colpotomy and without the Use of Uterine Manipulator for Early-Stage Cervical Cancer.

J Minim Invasive Gynecol 2019 Feb 23. Epub 2019 Feb 23.

Department of Gynecology, Northwest Women and Children Hospital (Shaanxi Provincial Maternity and Child Health Care Hospital) Shaanxi, China (all authors).

It was reported recently that minimally invasive radical hysterectomy was associated with worse prognosis than the open abdominal counterpart for the management of early-stage cervical cancer. Uterine manipulator and intracorporeal open colpotomy may be the 2 main suspects responsible for the inferiority. We hypothesize that minimally invasive radical hysterectomy with enclosed colpotomy and without the use of a uterine manipulator will improve survival. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.01.016DOI Listing
February 2019
3 Reads

Trachelectomy for reproductive-aged women with early-stage cervical cancer: minimally-invasive surgery versus laparotomy.

Am J Obstet Gynecol 2019 Feb 22. Epub 2019 Feb 22.

Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. Electronic address:

Background: A recent trial demonstrated decreased survival in women with early-stage cervical cancer who underwent radical hysterectomy via minimally-invasive surgery (MIS) compared to laparotomy, however outcomes following trachelectomy have yet to be studied.

Objective: To examine trends, characteristics, and survival of reproductive-aged women with early-stage cervical cancer who underwent MIS trachelectomy.

Methods: This is a retrospective study examining the National Cancer Database between 2010-2015. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.02.038DOI Listing
February 2019
1 Read

Adenosquamous carcinoma of the uterine cervix displaying tumor-associated tissue eosinophilia.

SAGE Open Med Case Rep 2019 13;7:2050313X19828235. Epub 2019 Feb 13.

Department of Pathology and Laboratory Medicine, Kanazawa Medical University, Uchinada, Japan.

Background: Tumor-associated tissue eosinophilia is defined as an inflammatory response with the marked infiltration of eosinophils within tumor tissues. Tumor-associated tissue eosinophilia has been reported in various organs; however, no studies have examined the detailed cytopathological findings of tumor-associated tissue eosinophilia.

Case Presentation: A 49-year-old woman presented with lower abdominal and back pain that had started 1 month earlier. Read More

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http://dx.doi.org/10.1177/2050313X19828235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378426PMC
February 2019

Diagnostic Performance of MRI for Assessing Parametrial Invasion in Cervical Cancer: A Head-to-Head Comparison between Oblique and True Axial T2-Weighted Images.

Korean J Radiol 2019 Mar;20(3):378-384

Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Objective: To directly compare the diagnostic performance of true and oblique axial T2-weighted imaging (T2WI) for assessing parametrial invasion (PMI) in cervical cancer.

Materials And Methods: This retrospective study included 71 women with treatment-naive cervical cancer who underwent MRI that included both oblique and true axial T2WI, followed by radical hysterectomy. Two blinded radiologists (Radiologist 1 and Radiologist 2) independently assessed the presence of PMI on both sequences using a 5-point Likert scale. Read More

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http://dx.doi.org/10.3348/kjr.2018.0248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389805PMC
March 2019
1 Read

Local anatomy around terminal ureter related to the anterior leaf of the vesicouterine ligament in radical hysterectomy.

Eur J Obstet Gynecol Reprod Biol 2019 Apr 16;235:66-70. Epub 2019 Feb 16.

Department of Obstetrics and Gynecology, Keio University School of Medicine, Japan.

Objectives: Radical hysterectomy is performed for invasive cervical cancer. In this surgery, separation of the anterior leaf and posterior leaves of the vesicouterine ligament (VUL) is important. We studied the local anatomy of the anterior leaf of the VUL, especially the branches of the umbilical artery from the view point of surgery and cadaver dissection. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.02.002DOI Listing
April 2019
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Updated Opinion of the Uterus Commission of the Gynecological Oncology Working Group (AGO) and the Gynecological Endoscopy Working Group (AGE) of the German Society of Gynecology and Obstetrics (DGGG) on the Randomized Study Comparing Minimally Invasive with Abdominal Radical Hysterectomy for Early-stage Cervical Cancer (LACC).

Geburtshilfe Frauenheilkd 2019 Feb 18;79(2):145-147. Epub 2019 Feb 18.

Universitätsfrauenklinik der Ruhr-Universität Bochum, Bochum, Germany.

In this opinion on the randomized study comparing minimally invasive with abdominal radical hysterectomy for early-stage cervical cancer (LACC), the Uterus Commission of the Gynecological Oncology Working Group (AGO) and the Gynecological Endoscopy Working Group (AGE) of the Germany Society of Gynecology and Obstetrics (DGGG) state that, based on their examination of the published data, patients with FIGO stage IA1 (with LVSI), IA2 or IB1 cervical cancer must be informed about the results of this LACC study prior to making a decision on the route for radical hysterectomy. Read More

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http://dx.doi.org/10.1055/a-0824-7929DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379161PMC
February 2019
1 Read

Minimally Invasive or Abdominal Radical Hysterectomy for Cervical Cancer.

N Engl J Med 2019 Feb;380(8):794

Mayo Clinic Arizona, Phoenix, AZ

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http://dx.doi.org/10.1056/NEJMc1816590DOI Listing
February 2019
1 Read

Minimally Invasive or Abdominal Radical Hysterectomy for Cervical Cancer.

N Engl J Med 2019 Feb;380(8):793-4

Institut Bergonié Cancer Center, Bordeaux, France

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http://dx.doi.org/10.1056/NEJMc1816590DOI Listing
February 2019

Minimally Invasive or Abdominal Radical Hysterectomy for Cervical Cancer. Reply.

N Engl J Med 2019 02;380(8):794-795

Queensland Centre for Gynaecological Cancer Research, Brisbane, QLD, Australia.

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http://dx.doi.org/10.1056/NEJMc1816590DOI Listing
February 2019
3 Reads

Minimally Invasive or Abdominal Radical Hysterectomy for Cervical Cancer.

N Engl J Med 2019 Feb;380(8):793

Henry Ford Health System, Detroit, MI

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http://dx.doi.org/10.1056/NEJMc1816590DOI Listing
February 2019
1 Read

International radical trachelectomy assessment: IRTA study.

Int J Gynecol Cancer 2019 Mar 13;29(3):635-638. Epub 2019 Feb 13.

Oncological surgery, Clinica Astorga, Envigado, Colombia.

Background: Radical trachelectomy is considered a viable option for fertility preservation in patients with low-risk, early-stage cervical cancer. Standard approaches include laparotomy or minimally invasive surgery when performing radical trachelectomy.

Primary Objective: To compare disease-free survival between patients with FIGO (2009) stage IA2 or IB1 (≤2cm) cervical cancer who underwent open versus minimally invasive (laparoscopic or robotic) radical trachelectomy. Read More

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http://dx.doi.org/10.1136/ijgc-2019-000273DOI Listing
March 2019
14 Reads

The Urodynamics and Survival Outcomes of Different Methods of Dissecting the Inferior Hypogastric Plexus in Laparoscopic Nerve-Sparing Radical Hysterectomy of Type C: A Randomized Controlled Study.

Ann Surg Oncol 2019 May 13;26(5):1560-1568. Epub 2019 Feb 13.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China.

Background: Little data exist about the impact of dissection methods on bladder function during nerve-sparing radical hysterectomy (NSRH). This randomized controlled trial compared the urodynamic and survival outcomes of different methods dissecting the inferior hypogastric plexus (IHP) during laparoscopic NSRH.

Methods: Eligible patients presenting with stage IB cervical cancer from 9 May 2013 to 27 October 2015 were randomized at a ratio of 1:1 and subjected to waterjet (study group) or traditional blunt (control group) dissection of the IHP for laparoscopic type C radical hysterectomy. Read More

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http://dx.doi.org/10.1245/s10434-019-07228-8DOI Listing
May 2019
2 Reads
3.930 Impact Factor

The impact of low volume lymph node metastases and stage migration after pathologic ultrastaging of non-sentinel lymph nodes in early-stage cervical cancer: a study of 54 patients with 4.2 years of follow up.

Ginekol Pol 2019 ;90(1):20-30

Department of Gynecology, Gynecologic Oncology and Gynecologic Endocrinology, Medical University of Gdansk, Poland.

Objectives: To assess the significance of pathologic ultrastaging (PU) of sentinel (SLN) and non-sentinel (nSLN) lymph nodes (LNs) and the influence on cancer staging in patients with International Federation of Gynecology and Obstetrics (FIGO) stage IA2-IB1 cervical cancer.

Material And Methods: A retrospective study was conducted with 54 patients divided into two equal-sized groups. In test group (n1), at least one SLN/patient was detected with blue dye. Read More

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http://dx.doi.org/10.5603/GP.2019.0004DOI Listing
January 2019
5 Reads

Nerve-sparing radical hysterectomy compared to standard radical hysterectomy for women with early stage cervical cancer (stage Ia2 to IIa).

Cochrane Database Syst Rev 2019 02 12;2:CD012828. Epub 2019 Feb 12.

Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, 123 Mitraparb Road, Amphur Muang, Khon Kaen, Thailand, 40002.

Background: Radical hysterectomy is one of the standard treatments for stage Ia2 to IIa cervical cancer. Bladder dysfunction caused by disruption of the pelvic autonomic nerves is a common complication following standard radical hysterectomy and can affect quality of life significantly. Nerve-sparing radical hysterectomy is a modified radical hysterectomy, developed to permit resection of oncologically relevant tissues surrounding the cervical lesion, while preserving the pelvic autonomic nerves. Read More

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http://dx.doi.org/10.1002/14651858.CD012828.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370917PMC
February 2019
3 Reads

Rethinking the next step after unexpected results associated with minimally invasive radical hysterectomy for early cervical cancer.

J Gynecol Oncol 2019 Mar 3;30(2):e43. Epub 2019 Jan 3.

Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.

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http://dx.doi.org/10.3802/jgo.2019.30.e43DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393636PMC
March 2019
6 Reads

Minimally invasive surgery improves short-term outcomes of nerve-sparing radical hysterectomy in patients with cervical cancer: a propensity-matched analysis with open abdominal surgery.

J Gynecol Oncol 2019 Mar 27;30(2):e27. Epub 2018 Nov 27.

Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.

Objectives: Nerve-sparing radical hysterectomy has been implemented in order to reduce pelvic floor dysfunctions in women undergoing radical surgery for cervical cancer. Here, we aimed to investigate if the adoption of laparoscopic surgery impacts on patients' outcomes.

Methods: Data of consecutive patients affected by cervical cancer who had laparoscopic nerve-sparing radical hysterectomy were matched 1:1 with an historical cohort of patients undergoing open procedure. Read More

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http://dx.doi.org/10.3802/jgo.2019.30.e27DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393638PMC
March 2019
3 Reads

Robot assisted radical nephrectomy + hysterectomy and specimen retrieval per vaginum (NOSE).

Int Braz J Urol 2019 Jan 25;45. Epub 2019 Jan 25.

Department of Gynae-Oncology, Asian Cancer Institute, Mumbai, India.

We demonstrate robot assisted radical nephrectomy with hysterectomy in the same sitting position followed by specimen retrieval per vagina (NOSE- Natural Orifice Specimen Extraction) A 36 year old female P2L2, presented with long standing dysmenorrhoea. Abdominal sonography detected incidental large left renal mass with a large fundal fibroid. CT scan revealed 8cmx8cm mass arising from mid and lower zone of the left kidney without vascular invasion and lymphadenopathy with a large fundal fibroid. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0351DOI Listing
January 2019
2 Reads

SLN mapping in early-stage cervical cancer as a minimal-invasive triaging tool for multimodal treatment.

Eur J Surg Oncol 2019 04 30;45(4):679-683. Epub 2019 Jan 30.

Department of Obstetrics and Gynecology, University Hospital of Bern and University of Berne, Berne, Switzerland.

Background: To evaluate sensitivity, false negative rate and negative predictive value of the combination of sentinel lymph node (SLN) mapping and frozen section (FS) in triaging cervical cancer patients to a definitive chemo-radiotherapy.

Methods: A retrospective analysis of patients with histologically proven cervical cancer undergoing laparoscopic SLN mapping and frozen section of the SLNs followed by a completion radical hysterectomy, pelvic and/or paraarotic lymphadenectomy. Sensitivity, false negative rate and negative predictive value of the SLN mapping, of the frozen section and of the combination of the two in identifying micro- and macrometastases were calculated. Read More

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http://dx.doi.org/10.1016/j.ejso.2019.01.184DOI Listing
April 2019
4 Reads

Technological innovation and personalized surgical treatment for early-stage endometrial cancer patients: A prospective multicenter Italian experience to evaluate the novel percutaneous approach.

Eur J Obstet Gynecol Reprod Biol 2019 Mar 30;234:218-222. Epub 2019 Jan 30.

Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Division of Gynecology, San Carlo di Nancy Hospital, Rome, Italy.

Objective: To investigate the safety, feasibility and oncological adequacy of the Percutaneous Surgical System - PSS in a consecutive series of low-risk endometrial cancer staging.

Study Design: From May 2015 to April 2017, we prospectively performed 30 consecutive percutaneous staging for low/intermediate risk endometrial cancer (FIGO stage IA G1-G2, IB G1-G2, IA G3). All patients were divided in two different groups on the basis of surgical procedure received: Group A included patients submitted to radical Class A hysterectomy and bilateral salpingo-oophorectomy; Group B concerned patients that received a lymph nodal assessment also. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.01.024DOI Listing
March 2019
4 Reads

Conization pathologic features as a predictor of intermediate and high risk features on radical hysterectomy specimens in early stage cervical cancer.

Gynecol Oncol 2019 Feb 2. Epub 2019 Feb 2.

The Ohio State University, James Cancer Hospital, Division of Gynecologic Oncology, 320 West 10(th) Avenue, Columbus, OH 43210, USA. Electronic address:

Objective: The impact of pathologic features of a cone biopsy on the management of women with early stage cervical cancer is understudied. Our objective was to evaluate the additive value of pathologic features of a cone biopsy toward identifying patients with high risk tumors for which adjuvant therapy may be indicated.

Methods: Patients with early stage cervical cancer undergoing a conization followed by radical hysterectomy from 1995 to 2016 were retrospectively identified. Read More

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http://dx.doi.org/10.1016/j.ygyno.2019.01.026DOI Listing
February 2019
2 Reads

Re: Minimally Invasive Versus Abdominal Radical Hysterectomy for Cervical Cancer.

Eur Urol 2019 May 2;75(5):875. Epub 2019 Feb 2.

Essen University Hospital, University of Duisburg-Essen, Essen, Germany.

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http://dx.doi.org/10.1016/j.eururo.2019.01.029DOI Listing
May 2019
2 Reads

The Efficacy of Lymph Node Embolization Using N-Butyl Cyanoacrylate Compared to Ethanol Sclerotherapy in the Management of Symptomatic Lymphorrhea after Pelvic Surgery.

J Vasc Interv Radiol 2019 02;30(2):195-202.e1

Department of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, Korea.

Purpose: To compare the efficacy of lymph node (LN) embolization using N-butyl cyanoacrylate versus ethanol sclerotherapy in the management of symptomatic postoperative pelvic lymphorrhea.

Materials And Methods: Thirty-three patients with 40 instances of symptomatic postoperative lymphorrhea were treated with either LN embolization or sclerotherapy at Seoul National University Hospital from January 2009 to July 2017 and were retrospectively included (LN embolization group: 24 lymphoceles of 19 patients, mean age of 59.29 years; sclerotherapy group: 16 lymphoceles of 14 patients, mean age of 60. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.09.038DOI Listing
February 2019
3 Reads

Adjuvant Hysterectomy in Patients With Residual Disease After Radiation for Locally Advanced Cervical Cancer: A Prospective Longitudinal Study.

J Glob Oncol 2019 Jan;5:1-7

4 Massachusetts General Hospital, Boston, MA.

Purpose: The aim of the study was to evaluate the efficacy of hysterectomy in the control of pelvic disease in patients with post-irradiated residual cervical cancer.

Patients And Methods: Forty patients were treated at either National Institute of Cancer Research and Hospital (NICRH) or Delta Cancer Hospital in Dhaka, Bangladesh, with International Federation of Gynecology and Obstetrics stage IIB to IIIB disease with residual disease after the following: either concurrent chemoradiation with or without brachytherapy, induction chemotherapy and external-beam radiotherapy (EBRT) with or without brachytherapy, or only EBRT. Patients were treated by either radical hysterectomy or extrafascial hysterectomy. Read More

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http://dx.doi.org/10.1200/JGO.18.00157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426523PMC
January 2019
2 Reads

Neoadjuvant Chemotherapy with Taxane and Platinum Followed by Radical Hysterectomy for Stage IB2-IIB Cervical Cancer: Impact of Histology Type on Survival.

J Clin Med 2019 Jan 30;8(2). Epub 2019 Jan 30.

Department of Obstetrics and Gynecology, Iwate Medical University, Iwate 020-0023, Japan.

The current study examined the histology-specific impact of neoadjuvant chemotherapy (NACT) with a taxane/platinum regimen on survival in women with locally-advanced cervical cancer who underwent radical hysterectomy. This nation-wide retrospective cohort study examined women with clinical stage IB2-IIB cervical cancer who received NACT prior to radical hysterectomy from 2004⁻2008 ( = 684). NACT type (taxane/platinum others) was correlated with survival based on histology: 511 squamous 173 non-squamous. Read More

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http://dx.doi.org/10.3390/jcm8020156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406495PMC
January 2019
7 Reads

Neoadjuvant intra-arterial chemotherapy using an original four-lumen double-balloon catheter for locally advanced uterine cervical cancer.

Oncotarget 2018 Dec 28;9(102):37766-37776. Epub 2018 Dec 28.

Department of Obstetrics and Gynecology, Osaka Medical College, Takatsuki, Japan.

Objective: We report a balloon-occluded arterial infusion therapy with an original four-lumen double-balloon catheter (4L-DB) which allows for the efficient injection of an anticancer agent at a high concentration to the target spot for patients with locally advanced uterine cervical cancer.

Methods: One hundred and forty-three patients with locally advanced cervical cancer treated with neoadjuvant intra-arterial chemotherapy (NAIAC) or a primary radical hysterectomy (PRH) were retrospectively assessed. The patients in the NAIAC group received irinotecan 70 mg/m2 intravenously on day 1 and 8 and cisplatin 70 mg/m2 intra-arterially using the 4L-DB on day 2 of a 21-day course, and two courses were performed in principle. Read More

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http://dx.doi.org/10.18632/oncotarget.26518DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340883PMC
December 2018
2 Reads