Clinical aspects and prognosis of pelvic recurrence of cervical carcinoma
Kasamatsu, T.; Onda, T.; Yamada, T.; Tsunematsu, R.
International Journal of Gynaecology and Obstetrics the Official Organ of the International Federation of Gynaecology and Obstetrics 89(1): 39-44
2005
ISSN/ISBN: 0020-7292 PMID: 15777897 DOI: 10.1016/j.ijgo.2004.12.020Document Number: 241615
To identify which patients with locally recurrent cervical carcinoma are potentially curable. A total of 664 stage IB-IVA patients were examined following surgery or radiotherapy. Among the 664 patients, 193 (29%) developed recurrence. Sixty-seven (35%) of these recurrences were located in the pelvis alone. Among these 67 recurrences, 24 (35%) were central recurrences and the remaining 43 (65%) were pelvic side-wall recurrences. Of the 24 patients with central recurrences, 8 were salvaged. Of these 8 patients, 3 underwent pelvic exenteration, and 5 received optimal radiotherapy. The recurrent tumor in these 5 survivors who received radiotherapy had consisted of a small (<2 cm) tumor. All 43 patients with pelvic wall recurrence developed progressive disease. The following patients are potentially curable: patients with a resectable, centrally located tumor who are candidates for pelvic exenteration, and patients with a small central recurrence for whom complete radiation therapy is feasible.
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