Surgical treatment and outcome of early invasive adenocarcinoma of the uterine cervix (FIGO stage IA1)

Surgical treatment and outcome of early invasive adenocarcinoma of the uterine cervix (FIGO stage... 1INTRODUCTIONThe natural history of early cervical adenocarcinoma is not fully understood, and proper disease management is controversial. In Japan, stage IA cervical adenocarcinoma is defined as microinvasive adenocarcinoma confined to the region of the normal endocervical glands; subclassification was not incorporated in the Japanese general rules for clinical and pathological management until March 2012. For this reason, the Japanese definition differs from that specified by the International Federation of Gynecology and Obstetrics (FIGO) in 2008, in which states that stage IA refers to a lesion with a depth of invasion depth of 5 mm or less.Depth of invasion is among the criteria used to predict pelvic lymph‐node metastasis and disease recurrence. In this study, we evaluated the validity of our operative procedures and prognostic outcomes in order to standardize surgical procedures for FIGO stage IA1 cervical adenocarcinoma.2PATIENTS AND METHODSA total of 120 patients with adenocarcinoma of the uterine cervix were treated at the Department of Gynecology and Obstetrics of Kyushu University Hospital between 2005 and 2011. Twelve of the 120 patients were treated for microinvasive adenocarcinoma, defined according to the FIGO classification system as stage IA1; all medical records were retrospectively reviewed for these 12 patients. We obtained written http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Asia-Pacific Journal of Clinical Oncology Wiley

Surgical treatment and outcome of early invasive adenocarcinoma of the uterine cervix (FIGO stage IA1)

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Publisher
Wiley
Copyright
Copyright © 2018 John Wiley & Sons Australia, Ltd
ISSN
1743-7555
eISSN
1743-7563
D.O.I.
10.1111/ajco.12691
Publisher site
See Article on Publisher Site

Abstract

1INTRODUCTIONThe natural history of early cervical adenocarcinoma is not fully understood, and proper disease management is controversial. In Japan, stage IA cervical adenocarcinoma is defined as microinvasive adenocarcinoma confined to the region of the normal endocervical glands; subclassification was not incorporated in the Japanese general rules for clinical and pathological management until March 2012. For this reason, the Japanese definition differs from that specified by the International Federation of Gynecology and Obstetrics (FIGO) in 2008, in which states that stage IA refers to a lesion with a depth of invasion depth of 5 mm or less.Depth of invasion is among the criteria used to predict pelvic lymph‐node metastasis and disease recurrence. In this study, we evaluated the validity of our operative procedures and prognostic outcomes in order to standardize surgical procedures for FIGO stage IA1 cervical adenocarcinoma.2PATIENTS AND METHODSA total of 120 patients with adenocarcinoma of the uterine cervix were treated at the Department of Gynecology and Obstetrics of Kyushu University Hospital between 2005 and 2011. Twelve of the 120 patients were treated for microinvasive adenocarcinoma, defined according to the FIGO classification system as stage IA1; all medical records were retrospectively reviewed for these 12 patients. We obtained written

Journal

Asia-Pacific Journal of Clinical OncologyWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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