Radical Surgery in Cervical Cancer Survivors: Shat is the Matter of Concern in Low-Resources Societies?

G. Maddah, Mohammad Ali Mohammadzadeh Rezae, Z. Yousefi, H. Azimi, Leila Mousavi Seresht
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Abstract

10.30699/jogcr.8.4.411 Background & Objective: Pelvic exenteration and other types of super-radical procedures are the standard of care in the management of patients with recurrent or persistent cervical cancer. But, since the extent of surgery and possible morbidities are considered as an important challenge in low-resource countries, there is need to investigate the outcomes of similar patient. Materials & Methods: The present study tries to report the successful outcome of radical surgery in detailed in 7 cases in a low-economic setting Results: Total Pelvic exenteration was performed in three but free margin could be achieved by less radical approach in others. All were alive up to 5yaers of follow-up. Conclusion: What we had noticed was the excellent survival prognosis even in curative intent. It is highly recommended, considering the psychological effect of such an extensive surgery and quality of life in these patients with advanced disease and loss of hope.
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宫颈癌幸存者的根治手术:在资源匮乏的社会中,什么才是值得关注的问题?
10.30699/jogcr.8.4.411 背景与目的:盆腔外扩张术和其他类型的超根治术是治疗复发性或顽固性宫颈癌患者的标准方法。但在资源匮乏的国家,手术范围和可能的发病率被视为一项重要挑战,因此有必要对类似患者的治疗效果进行调查。材料与方法:本研究试图详细报告在经济落后地区 7 例根治术的成功结果:其中三例进行了全骨盆外扩手术,其他几例则采用了不太激进的方法。所有患者在随访 5 年后均存活。结论我们注意到,即使是根治性手术,患者的生存预后也非常好。考虑到这种大范围手术的心理影响以及晚期患者的生活质量和希望的丧失,我们强烈推荐这种手术。
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