A special issue on Nursing: Current Scenario and Future Development - Articles are invited.

Surgically treated early stage cervical cancer – Prognostic factors and adjuvant treatment

Authors: Verneker Ruchika A , Desai Arun J and Patel Shilpa M

Int J Med Res Health Sci.180-183 | pdf PDF Full Text

Invasive cancer of cervix is considered a preventable disease as it has a long pre-invasive state. Ifdetected in early stages i.e upto stage IIA1 the disease is curable with good survival rates.
• To identify the prognostic factors in surgically treated early stage cervical cancer
• To study if preoperative findings could accurately predict presence of poor prognostic factors such as nodal status
• To evaluate these histological prognostic factors in deciding the further management of patient with adjuvant treatment

This is a prospective study of prognostic factors and adjuvant treatment in 60 cases of surgically treated early stage cervical cancer (Radical hysterectomy with bilateral pelvic lymph node dissection).Histo-pathological findings were evaluated to determine the prognosis.Result:25% patients had lymph node involvement and lymphovascular space invasion was seen in 15% of cases. Parametrium was involved in 16.6%. There were 3 patients with positive margins and 65% patients had moderate differentiation of tumor. Maximum number of nodes were positive in stage IB2. Size of the tumor more than 4 cm is an important determinant of prognosis and has an definite effect on lymph node metastasis and other poor histological prognostic factors. • Adjuvant treatment is must incase of patients with intermediate or high risk prognostic factors

Keywords: carcinoma cervix, surgically treated, risk factors.

International Journal of Medical Research & Health Sciences © 2012-16 [Last updated: July 2016] by AspiringDigital