The influence of staging laparotomy for on patterns of recurrence and survival cervical cancer

Mark E. Potter, S. Spencer, Seng Jaw Soong, K. D. Hatch

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

A matched paired study of surgically staged and non-surgically staged patients with stage II and III cervical carcinoma from October 1974 through August 1987 was retrospectively performed. Eight of 55 (13.8%) had para-aortic lymph node involvement. After tailored extended field radiation 2/8 (25%) remain alive without evidence of disease. Patient survival although slightly in favor of the unstaged group was similar. Patterns of recurrence were similar amongst treatment groups. Para-aortic nodal recurrence, despite tailored radiation therapy, was identical (5.4%) in the staged and unstaged groups. Only one patient (not surgically staged) had an isolated para-aortic recurrence. With the morbidity of an operative procedure and similar survival rates and para-aortic nodal recurrence rates, the value of staging laparotomy in improved patient survival is questioned. Pelvic failure and other distant metastases continue to be the major sites of recurrences.

Original languageEnglish (US)
Pages (from-to)169-174
Number of pages6
JournalInternational Journal of Gynecological Cancer
Volume3
Issue number3
DOIs
StatePublished - May 1993
Externally publishedYes

Keywords

  • Cervical cancer
  • Surgical staging

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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