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Pelvic exenterations for gynecologic cancers: A retrospective analysis of a 30-year experience in a cancer center

European Journal of Surgical Oncology Dec 01, 2018

Knight S, et al. - Researchers perormed a retrospective study at Institut Paoli-Calmette including patients who underwent PE for gynecologic malignancies, to report a 30-year experience of PE for gynecologic malignancies. They evaluated four periods (P1 before 1992, P2 between 1993 and 1999, P3 between 2000 and 2006 and P4 after 2006) and determined the number of PE performed during each period, the type of PE, its level, indication, location of the primary tumor, patient age, previous radiotherapy ≥45 Gy, the rate of “curative” PE and exenteration-related reconstructive techniques. Observation revealed an increase in the rate of curative PE, that my be correlated with a better selection of eligible patients for PE, namely through improvement in imaging techniques.
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