Simple Advertent Hysterectomy in the Presence of Invasive Cervical Cancer.

Lee, Jae Kwan; Hur, Jun Young; Park, Yong Kyun; Cho, Soo Yong; Saw, Ho Suk

Original Article

Korean Journal of Obstetrics & Gynecology 2000;43(5):891-896.
Published online January 1, 2001.

Simple Advertent Hysterectomy in the Presence of Invasive Cervical Cancer.

Jae Kwan Lee, Jun Young Hur, Yong Kyun Park, Soo Yong Cho, Ho Suk Saw

Abstract

To identify significant prognostic factors in patients undergoing simple hysterectomy in the presence of invasive cervical cancer, the records of 45 patients who had taken such a procedure between 1993 and 1997 were reviewed. Overall relapse-free survival and 5-year survival rates were 91.1 and 92.1%, respectively. Factors found to be significantly related to survival were the retrospectively determined stage(p=0.0000), the presence of residual disease(p=0.0001), and cell type(p=0.0000). By multivariate analysis, factor emerging as significantly detrimental to survival was the cell type. The presence of residual disease was a marginally significant factor(p=0.067). The expectations for survival of patients with residual tumor mass and/or with adenocarcinoma after simple hysterectomy appear to be markedly worse than those with others, so radical reoperation should be considered in those patients.

Key Words: Cervical cancer, Simple hysterectomy, Prognostic factors