Surgical treatment and outcome of early invasive adenocarcinoma of the uterine cervix (FIGO stage IA1)

Hideaki Yahata, Kenzo Sonoda, Masafumi Yasunaga, Tatsuhiro Ohgami, Yoshiaki Kawano, Eisuke Kaneki, Kaoru Okugawa, Tsunehisa Kaku, Kiyoko Kato

研究成果: ジャーナルへの寄稿記事

抄録

Aim: To investigate the surgical outcome of FIGO stage IA1 cervical adenocarcinoma. Methods: Between 2005 and 2011, 12 patients from Kyushu University Hospital had cervical adenocarcinoma, with a tumor depth of less than 3 mm and a horizontal width of less than 7 mm (FIGO stage IA1), diagnosed by cervical conization. All patients underwent simple hysterectomy or simple trachelectomy with pelvic lymphadenectomy. Results: The mean patient age was 34 years (range, 26–70 years). The median follow-up period was 70.5 months (range, 26–99 months). No pelvic lymph-node metastasis was seen, and no patient experienced disease recurrence. Conclusion: Early invasive cervical adenocarcinoma with a depth of invasion of 3 mm or less and a horizontal spread of 7 mm or less has little potential for nodal metastasis or recurrence. Therefore, simple hysterectomy or trachelectomy, without lymphadenectomy, might be an alternative treatment option for stage IA1 cervical adenocarcinoma.

元の言語英語
ページ(範囲)e50-e53
ジャーナルAsia-Pacific Journal of Clinical Oncology
14
発行部数2
DOI
出版物ステータス出版済み - 4 2018

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Cervix Uteri
Adenocarcinoma
Lymph Node Excision
Hysterectomy
Neoplasm Metastasis
Conization
Recurrence
Lymph Nodes
Neoplasms
Trachelectomy
Therapeutics

All Science Journal Classification (ASJC) codes

  • Oncology

これを引用

Surgical treatment and outcome of early invasive adenocarcinoma of the uterine cervix (FIGO stage IA1). / Yahata, Hideaki; Sonoda, Kenzo; Yasunaga, Masafumi; Ohgami, Tatsuhiro; Kawano, Yoshiaki; Kaneki, Eisuke; Okugawa, Kaoru; Kaku, Tsunehisa; Kato, Kiyoko.

:: Asia-Pacific Journal of Clinical Oncology, 巻 14, 番号 2, 04.2018, p. e50-e53.

研究成果: ジャーナルへの寄稿記事

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AU - Yahata, Hideaki

AU - Sonoda, Kenzo

AU - Yasunaga, Masafumi

AU - Ohgami, Tatsuhiro

AU - Kawano, Yoshiaki

AU - Kaneki, Eisuke

AU - Okugawa, Kaoru

AU - Kaku, Tsunehisa

AU - Kato, Kiyoko

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N2 - Aim: To investigate the surgical outcome of FIGO stage IA1 cervical adenocarcinoma. Methods: Between 2005 and 2011, 12 patients from Kyushu University Hospital had cervical adenocarcinoma, with a tumor depth of less than 3 mm and a horizontal width of less than 7 mm (FIGO stage IA1), diagnosed by cervical conization. All patients underwent simple hysterectomy or simple trachelectomy with pelvic lymphadenectomy. Results: The mean patient age was 34 years (range, 26–70 years). The median follow-up period was 70.5 months (range, 26–99 months). No pelvic lymph-node metastasis was seen, and no patient experienced disease recurrence. Conclusion: Early invasive cervical adenocarcinoma with a depth of invasion of 3 mm or less and a horizontal spread of 7 mm or less has little potential for nodal metastasis or recurrence. Therefore, simple hysterectomy or trachelectomy, without lymphadenectomy, might be an alternative treatment option for stage IA1 cervical adenocarcinoma.

AB - Aim: To investigate the surgical outcome of FIGO stage IA1 cervical adenocarcinoma. Methods: Between 2005 and 2011, 12 patients from Kyushu University Hospital had cervical adenocarcinoma, with a tumor depth of less than 3 mm and a horizontal width of less than 7 mm (FIGO stage IA1), diagnosed by cervical conization. All patients underwent simple hysterectomy or simple trachelectomy with pelvic lymphadenectomy. Results: The mean patient age was 34 years (range, 26–70 years). The median follow-up period was 70.5 months (range, 26–99 months). No pelvic lymph-node metastasis was seen, and no patient experienced disease recurrence. Conclusion: Early invasive cervical adenocarcinoma with a depth of invasion of 3 mm or less and a horizontal spread of 7 mm or less has little potential for nodal metastasis or recurrence. Therefore, simple hysterectomy or trachelectomy, without lymphadenectomy, might be an alternative treatment option for stage IA1 cervical adenocarcinoma.

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