[Post-radiotherapy pelvic exenteration in relapsed cervical cancer: experience of a tertiary health service in the northeast of Brazil].

Autor:	Vieira SC; Universidade Federal do Piauí, Teresina, PI, Brasil. sabas.vieira@uol.com.br, Costa DR, Meneses AD, Borges e Silva J, Oliveira AK, Sousa RB
Jazyk:	portugalština
Zdroj:	Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2009 Jan; Vol. 31 (1), pp. 22-7.
DOI:	10.1590/s0100-72032009000100005
Abstrakt:	Purpose: to analyze complications, morbidity, mortality and survival rate in a group of patients with cervical cancer with central pelvic relapse after primary radiotherapy treatment. Methods: retrospective study of a series of 16 cases of pelvic exenteration after primary radiotherapy treatment. Descriptive statistics, survival curve through Kaplan-Meier's method, and regression analysis to evaluate prognosis were performed. Results: sixteen patients have undergone pelvic exenteration. Epidermoid carcinoma, IIb stage and undifferentiated grade were the most frequent conditions. Post-operatory tumor relapse occurred in half the cases. Eleven patients presented peri or post-surgical complications, the most frequent being pelvic infection, that of the surgical wound, and urinary fistulae. Global survival rate was 64.3%, with average follow-up of 11 months. Regression analysis did not detect any significant prognosis factor for the patient survival. Conclusions: the survival rate was 64.3%. No particular factor associated to poor prognosis has been found in the present series of cases.
Databáze:	MEDLINE
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