Artigo Acesso aberto Produção Nacional Revisado por pares

Exenteração pélvica para câncer do colo uterino recidivado pós-radioterapia: experiência de um centro terciário do Nordeste brasileiro

2009; Thieme Medical Publishers (Germany); Volume: 31; Issue: 1 Linguagem: Inglês

10.1590/s0100-72032009000100005

ISSN

1806-9339

Autores

Sabas Carlos Vieira, Djalma Ribeiro Costa, Aurus Dourado Meneses, Jeany Borges e Silva, Alexandra Kolontai de Sousa Oliveira, Rodrigo Sousa,

Tópico(s)

Women's cancer prevention and management

Resumo

to analyze complications, morbidity, mortality and survival rate in a group of patients with cervical cancer with central pelvic relapse after primary radiotherapy treatment.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.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.the survival rate was 64.3%. No particular factor associated to poor prognosis has been found in the present series of cases.

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