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Comparison of oncologic outcomes of unanticipated cervical carcinoma in women undergoing inadvertent simple hysterectomy and those undergoing surgical treatment after preoperative diagnosis

Gynecologic Oncology Mar 17, 2019

Ruengkhachorn I, et al. - Researchers analyzed medical records for 526 patients with cervical carcinoma who had a hysterectomy to investigate the proportion of women with undiagnosed cervical carcinoma prior to simple hysterectomy and its causes. Women diagnosed and treated with standard therapy were compared to those undergoing inadvertent simple hysterectomy with subsequent treatment with respect to oncologic outcomes. They used descriptive statistics to analyze demographic data, chemotherapeutic agents, and response rates. The survival outcomes were assessed using the Kaplan–Meier method. Overall 57 patients (10.8%) received a diagnosis of cervical carcinoma after simple hysterectomy. Among women with cervical carcinoma, the oncologic outcomes of those who had small tumors and had an inadvertent simple hysterectomy with suitable resulting management were similar to those in the standard surgical treatment group.

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