Is the pathologic tumor size associated with survival in early cervical cancer treated with radical hysterectomy and adjuvant radiotherapy?open access
- Authors
- Cho, Won Kyung; Park, Won; Kim, Hakyoung; Kim, Yeon Joo; Kim, Young Seok
- Issue Date
- Mar-2022
- Publisher
- Elsevier Taiwan
- Keywords
- Radiation therapy; Tumor size; Uterine cervical neoplasm
- Citation
- Taiwanese Journal of Obstetrics and Gynecology, v.61, no.2, pp 329 - 332
- Pages
- 4
- Indexed
- SCIE
SCOPUS
- Journal Title
- Taiwanese Journal of Obstetrics and Gynecology
- Volume
- 61
- Number
- 2
- Start Page
- 329
- End Page
- 332
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/60948
- DOI
- 10.1016/j.tjog.2022.02.023
- ISSN
- 1028-4559
1875-6263
- Abstract
- Objective
In 2018 International Federation of Gynecology and Obstetrics (FIGO) staging system of uterine cervix cancer, size criteria of primary tumor has been revised. This study aimed to evaluate the validity of this new size criteria (<2, 2–4, and ≧4 cm) in patients who underwent radical hysterectomy and adjuvant radiation therapy (RT) for early cervical cancer.
Materials and methods
We retrospectively examined 312 patients who underwent radical hysterectomy and adjuvant RT for early cervical cancer (IB-IIA) from 2001 to 2014. The effects of clinical and pathological factors on disease-free survival (DFS) and overall survival (OS) were evaluated in univariate and multivariate analyses.
Results
After a median follow-up of 71.5 months, the 5-year DFS and OS rates were 89.5% and 94.7%, respectively. The primary tumor size was not a significant factor for DFS ( p = 0.382) or OS ( p = 0.725) in all patients.
Conclusion
Primary tumor size was not a significant factor for survival in patients who received hysterectomy and adjuvant RT for early cervical cancer. Adequacy of new tumor size criteria (<2, 2–4, and ≧4 cm) in new 2018 FIGO stage needs to be validated in further studies.
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- Appears in
Collections - 2. Clinical Science > Department of Radiation Oncology > 1. Journal Articles
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