Indications for primary and secondary exenterations in patients with cervical cancer.

@article{Marnitz2006IndicationsFP,
  title={Indications for primary and secondary exenterations in patients with cervical cancer.},
  author={Simone Marnitz and Christhardt Koehler and Marianne M{\"u}ller and K. Behrens and Kati Hasenbein and Achim Schneider},
  journal={Gynecologic oncology},
  year={2006},
  volume={103 3},
  pages={1023-30}
}
OBJECTIVE Fifty years after the introduction of exenterative surgery in gynecologic oncology, the indication for primary and secondary exenteration is controversially discussed in cervical cancer patients. In addition, the term "palliative exenteration" is not precisely defined. We evaluate the role of primary exenteration in patients with stage IVA cervical cancer and the role of secondary palliative exenteration. METHODS The study retrospectively analyzed surgical and oncologic data of 55… CONTINUE READING

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Survival was analyzed in relation to the patient 's age , indication ( primary versus secondary , curative versus palliative ) , previous therapy ( operation , radiation , chemotherapy , radiochemotherapy ) , histology , resection margins , pelvic nodal involvement , time interval from primary therapy to recurrence , type of exenteration and adjuvant therapy .
The study retrospectively analyzed surgical and oncologic data of 55 patients who underwent exenterative surgery in the Department of Gynecology at the University of Jena between February 1998 and January 2004 .
The study retrospectively analyzed surgical and oncologic data of 55 patients who underwent exenterative surgery in the Department of Gynecology at the University of Jena between February 1998 and January 2004 .
Primary surgery was performed in 20 patients with laparoscopically confirmed stage IVA cervical cancer , while 35 patients with recurrent cervical cancer underwent secondary exenteration .
Primary surgery was performed in 20 patients with laparoscopically confirmed stage IVA cervical cancer , while 35 patients with recurrent cervical cancer underwent secondary exenteration .
Primary surgery was performed in 20 patients with laparoscopically confirmed stage IVA cervical cancer , while 35 patients with recurrent cervical cancer underwent secondary exenteration .
Primary surgery was performed in 20 patients with laparoscopically confirmed stage IVA cervical cancer , while 35 patients with recurrent cervical cancer underwent secondary exenteration .
Primary surgery was performed in 20 patients with laparoscopically confirmed stage IVA cervical cancer , while 35 patients with recurrent cervical cancer underwent secondary exenteration .
Primary surgery was performed in 20 patients with laparoscopically confirmed stage IVA cervical cancer , while 35 patients with recurrent cervical cancer underwent secondary exenteration .
Primary surgery was performed in 20 patients with laparoscopically confirmed stage IVA cervical cancer , while 35 patients with recurrent cervical cancer underwent secondary exenteration .
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