Ginekologia polska · 2001
[Uterine corpus extension of primary cervical carcinoma IIA-IIB. The compatibility of preoperative and postoperative diagnosis and its annual significance].
Сравнительное исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Smutek J, Mielnik J, Jurczak-Czaplicka M, Adamcio-Deptulska M, Łozyk J
Аннотация
OBJECTIVE: Evaluation of the concordance of preoperative diagnosis, based on dilatation and curettage (D&C) and postoperative diagnosis, based on specimen of uterine corpus, as well as finding if the material from D&C allows to conclude about extension of uterine corpus infiltration and thus patient's prognosis.
MATERIAL AND METHODS: Analysis was done on 43 patients with uterine corpus infiltration in stage Ib-IIb of primary cervical cancer, on whom Wertheim-Meigs surgery was performed. Depth of uterine invasion in D&C material (free of cancer endometrium, cancerous endometrium, cancerous fragments of myometrium) was compared with actual postoperative assessment of uterine specimen. 5-year survival rate was also analysed.
RESULTS: Statistically significant differences in depth and extension of uterine body infiltration between patients with soley endometrial infiltration and patients with infiltrated fragments of myometrium in D&C material were found.
CONCLUSION: Presence of infiltrated fragments of myometrium in D&C material was mostly found in cases of extensive corpus infiltration (postoperative specimen) and it had much to do with poor prognosis.
MATERIAL AND METHODS: Analysis was done on 43 patients with uterine corpus infiltration in stage Ib-IIb of primary cervical cancer, on whom Wertheim-Meigs surgery was performed. Depth of uterine invasion in D&C material (free of cancer endometrium, cancerous endometrium, cancerous fragments of myometrium) was compared with actual postoperative assessment of uterine specimen. 5-year survival rate was also analysed.
RESULTS: Statistically significant differences in depth and extension of uterine body infiltration between patients with soley endometrial infiltration and patients with infiltrated fragments of myometrium in D&C material were found.
CONCLUSION: Presence of infiltrated fragments of myometrium in D&C material was mostly found in cases of extensive corpus infiltration (postoperative specimen) and it had much to do with poor prognosis.