Therapeutic implications of the natural history of advanced cervical cancer as defined by pretreatment surgical staging
From 1978 to 1983, 112 women with advanced cervical carcinomas received radiotherapy after pretreatment surgical staging. Five‐year actuarial relapse‐free survival rates were a strong function of lymphatic spread: 40% with periaortic node metastases, 50% with pelvic node metastases, and 84% without...
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| Published in | Cancer Vol. 56; no. 4; pp. 956 - 960 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Wiley Subscription Services, Inc., A Wiley Company
15.08.1985
Wiley-Liss |
| Subjects | |
| Online Access | Get full text |
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| Abstract | From 1978 to 1983, 112 women with advanced cervical carcinomas received radiotherapy after pretreatment surgical staging. Five‐year actuarial relapse‐free survival rates were a strong function of lymphatic spread: 40% with periaortic node metastases, 50% with pelvic node metastases, and 84% without node metastases. Primary treatment failure had a distant component in 75% of recurrences (50% of recurrences with negative nodes and 85% of recurrences with positive nodes). It was concluded that adjuvant systemic therapy is necessary to substantially raise the probability of cure. |
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| AbstractList | From 1978 to 1983, 112 women with advanced cervical carcinomas received radiotherapy after pretreatment surgical staging. Five-year actuarial relapse-free survival rates were a strong function of lymphatic spread: 40% with periaortic node metastases, 50% with pelvic node metastases, and 84% without node metastases. Primary treatment failure had a distant component in 75% of recurrences (50% of recurrences with negative nodes and 85% of recurrences with positive nodes). It was concluded that adjuvant systemic therapy is necessary to substantially raise the probability of cure. |
| Author | Potish, Roger A. Twiggs, Leo B. Prem, Konald A. Okagaki, Takashi Adcock, Leon L. |
| Author_xml | – sequence: 1 givenname: Roger A. surname: Potish fullname: Potish, Roger A. – sequence: 2 givenname: Leo B. surname: Twiggs fullname: Twiggs, Leo B. – sequence: 3 givenname: Takashi surname: Okagaki fullname: Okagaki, Takashi – sequence: 4 givenname: Konald A. surname: Prem fullname: Prem, Konald A. – sequence: 5 givenname: Leon L. surname: Adcock fullname: Adcock, Leon L. |
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| Keywords | Human Treatment Surgery Gynecology Evolution Advanced stage Tumor Uterine cervix Preoperative History Female genital diseases |
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| References | 1971; 9 1983; 147 1984; 158 1977; 49 1984; 17 1980; 45 1926; 2 1984; 148 1981; 57 1984 1981; 139 1984; 18 1983 1978; 14 1980 1979; 63 1983; 15 Broders (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB8) 1926; 2 Potish (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB10) 1984 Ballon (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB1) 1981; 57 Lange (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB17) 1980; 45 Piver (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB4) 1981; 139 Abu-Ghazaleh (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB15) 1984; 17 Adcock (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB5) 1984; 18 Twiggs (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB6) 1984; 148 Kottmeier (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB7) 1971; 9 Twiggs (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB2) 1984; 158 Breur (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB13) 1978; 14 Piver (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB18) 1983; 147 Griffiths (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB16) 1979; 63 Dembo (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB14) 1983 Wharton (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB3) 1977; 49 Fletcher (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB12) 1980 Potish (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB9) 1983; 15 Lee (10.1002/1097-0142(19850815)56:4<956::AID-CNCR2820560442>3.0.CO;2-U-BIB11) 1980 |
| References_xml | – volume: 139 start-page: 575 year: 1981 end-page: 578 article-title: Five‐year survival (with no evidence of disease) in patients with biopsy‐confirmed aortic node metastasis from cervical carcinoma publication-title: Am J Obstet Gynecol – volume: 18 start-page: 218 year: 1984 end-page: 225 article-title: Carcinoma of the cervix, FIGO Stage IB: Treatment failures publication-title: Gynecol Oncol – volume: 49 start-page: 333 year: 1977 end-page: 338 article-title: Preirradiation celiotomy and extended‐field irradiation for invasive carcinoma of the cervix publication-title: Obstet Gynecol – volume: 15 start-page: 1 year: 1983 end-page: 9 article-title: The morbidity and utility of periaortic radiotherapy in cervical carcinoma publication-title: Gynecol Oncol – volume: 45 start-page: 1498 year: 1980 end-page: 1506 article-title: Accelerated growth of testicular cancer following cytoreductive surgery publication-title: Cancer – start-page: 720 year: 1980 end-page: 773 – volume: 2 start-page: 376 year: 1926 end-page: 381 article-title: Carcinoma: Grading and practical application publication-title: Arch Pathol – volume: 158 start-page: 243 year: 1984 end-page: 250 article-title: Pretreatment extraperitoneal surgical staging in primary carcinoma of the cervix uteri publication-title: Surg Gynecol Obstet – volume: 63 start-page: 235 year: 1979 end-page: 240 article-title: Role of cytoreductive surgical treatment in the management of advanced ovarian cancer publication-title: Cancer Treat Rep – volume: 17 start-page: 139 year: 1984 end-page: 148 article-title: The significance of peritoneal cytology in patients with carcinoma of the cervix publication-title: Gynecol Oncol – start-page: 85 year: 1984 end-page: 100 – volume: 147 start-page: 803 year: 1983 end-page: 808 article-title: Hydroxyurea: A radiation potentiator in carcinoma of the uterine cervix: A randomized double‐blind study publication-title: Am J Obstet Gynecol – volume: 14 start-page: 461 year: 1978 end-page: 471 article-title: Irradiation of the lungs as an adjuvant therapy in the treatment of osteosarcoma of the limbs: An E. 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| Snippet | From 1978 to 1983, 112 women with advanced cervical carcinomas received radiotherapy after pretreatment surgical staging. Five‐year actuarial relapse‐free... From 1978 to 1983, 112 women with advanced cervical carcinomas received radiotherapy after pretreatment surgical staging. Five-year actuarial relapse-free... |
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| SubjectTerms | Adult Aged Biological and medical sciences Female Female genital diseases Gynecology. Andrology. Obstetrics Humans Intestines - radiation effects Lymphatic Metastasis Medical sciences Middle Aged Neoplasm Recurrence, Local Neoplasm Staging - methods Preoperative Care Prognosis Radiation Injuries Time Factors Tumors Uterine Cervical Neoplasms - mortality Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - radiotherapy Uterine Cervical Neoplasms - surgery |
| Title | Therapeutic implications of the natural history of advanced cervical cancer as defined by pretreatment surgical staging |
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