IMR Press / EJGO / Volume 23 / Issue 6 / pii/2002228

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Cervical cuff carcinoma: causes and prevention

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1 Gynecological Clinic of Prof A. Gvamichava National Cancer Center, Tbilisi (Georgia)
Eur. J. Gynaecol. Oncol. 2002, 23(6), 545–547;
Published: 10 December 2002
Abstract

Over an I I-year period ( 1990-2000) a total of 59 patients with cervical cuff carcinoma were hospitalized (I stage - 17; II stage - 30; III-IV stage - 12 patients). Seventeen patients were subjected to radical extirpation with lymphadenectomy for cervical cuff car­cinoma, while 42 patients received combined radiotherapy. In the last 20-year period the patients had undergone supravaginal ampu­tation of the uterus due to uterine fibromyoma, polyposis, and ovarian tumors in various gynecological clinics. In 12 patients the onset of cervical cuff carcinoma occurred within one year after supravaginal amputation of the uterus; in another six patients cancer developed within two years postoperatively, 15 patients in a 3 to 9 year period and 26 developed cancer I 0-20 years after surgery. It seems in fact that when cervical cuff carcinoma developed within one year after supravaginal amputation of the uterus the patients had cervical carcinoma which was not identified due to physician negligence. In cases of latent periods up to ten years the patients must have had at least pre-existing disease. To prevent development of cervical cuff carcinoma in the future when opera­ting on the uterus and/or adnexa the scope of surgery (extirpation, amputation) shall be decided based on colposcopic examination of the cervix (target cytology).

Keywords
Cervical cuff carcinoma
Colposcopy
Prevention
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