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pmid: 19347225
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.
Adult, Survival rate, Uterine cervical neoplasms, Neoplasias do colo do útero/cirurgia, Urinary Fistula, Neoplasias do colo do útero/complicações, Uterine Cervical Neoplasms, Neoplasias do colo do útero, Complicações pós-operatórias, Postoperative complications, Neoplasias do colo do útero/radioterapia, Humans, Surgical Wound Infection, Intraoperative complications, Neoplasias do colo do útero/epidemiologia, Taxa de sobrevida, Aged, Retrospective Studies, Complicações intra-operatórias, Middle Aged, Prognosis, Neoplasias do colo do útero/mortalidade, Exenteração pélvica, Pelvic Exenteration, Survival Rate, Multivariate Analysis, Carcinoma, Squamous Cell, Regression Analysis, Female, Pelvic exenteration, Neoplasm Recurrence, Local, Brazil
Adult, Survival rate, Uterine cervical neoplasms, Neoplasias do colo do útero/cirurgia, Urinary Fistula, Neoplasias do colo do útero/complicações, Uterine Cervical Neoplasms, Neoplasias do colo do útero, Complicações pós-operatórias, Postoperative complications, Neoplasias do colo do útero/radioterapia, Humans, Surgical Wound Infection, Intraoperative complications, Neoplasias do colo do útero/epidemiologia, Taxa de sobrevida, Aged, Retrospective Studies, Complicações intra-operatórias, Middle Aged, Prognosis, Neoplasias do colo do útero/mortalidade, Exenteração pélvica, Pelvic Exenteration, Survival Rate, Multivariate Analysis, Carcinoma, Squamous Cell, Regression Analysis, Female, Pelvic exenteration, Neoplasm Recurrence, Local, Brazil
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