Radical surgery or radiotherapy for stage Ib-lla cervical cancer

Autor:	Pat Soutter
Rok vydání:	1997
Předmět:	Oncology Cervical cancer medicine.medical_specialty Chemotherapy business.industry medicine.medical_treatment General Medicine Disease medicine.disease Debulking Surgery Stage ib Radiation therapy Internal medicine medicine Radical surgery Sexual function business
Zdroj:	The Lancet. 350:532
ISSN:	0140-6736
DOI:	10.1016/s0140-6736(05)63134-0
Popis:	options. This protocol may be best achieved by modifying the criteria for postoperative radiotherapy to include only those at very high risk of central, pelvic recurrence, and by using criteria for surgery that select those most likely to benefit from the preservation of sexual function and who are unlikely to qualify for postoperative radiotherapy by these new criteria. One possible exception to these general principles could be women with bulky central disease who might benefit from neoadjuvant chemotherapy followed by radical surgery. The results of the Italian trial of this approach will be of considerable interest. A second group who might be managed differently are those women with bulky lymph-node disease, for whom retroperitoneal surgical debulking followed by radical radiotherapy may offer an improved prognosis.
Databáze:	OpenAIRE
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