Tumor Handling of Early-stage Cervical Cancer: A Literature Analysis of Villoglandular Adenocarcinoma of the Cervix.

Early-stage cervical cancer minimal handling minimal invasive surgery review villoglandular adenocarcinoma of the uterine cervix

Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 19 04 2020
revised: 08 05 2020
accepted: 11 05 2020
entrez: 4 6 2020
pubmed: 4 6 2020
medline: 13 6 2020
Statut: ppublish

Résumé

Recent studies have demonstrated the inferior overall survival outcomes of patients with early-stage cervical cancer who undergo minimally invasive surgery (MIS). One possible explanation for these unexpected results is intraoperative tumor manipulation. Considering this hypothesis, we have reviewed the literature on the oncological outcomes of patients with villoglandular adenocarcinoma (VGA) of the cervix, an uncommon variant of cervical cancer that has an excellent prognosis. VGA generally presents as an exophytic mass arising from the endocervix. In a systematic review, we identified 221 patients treated surgically for VGA (FIGO stage Ia-Ib Excessive tumor-handling during MIS or manipulations, e.g. cervix-dilation (during delivery), can worsen the otherwise excellent prognosis.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
Recent studies have demonstrated the inferior overall survival outcomes of patients with early-stage cervical cancer who undergo minimally invasive surgery (MIS). One possible explanation for these unexpected results is intraoperative tumor manipulation.
MATERIALS AND METHODS METHODS
Considering this hypothesis, we have reviewed the literature on the oncological outcomes of patients with villoglandular adenocarcinoma (VGA) of the cervix, an uncommon variant of cervical cancer that has an excellent prognosis.
RESULTS RESULTS
VGA generally presents as an exophytic mass arising from the endocervix. In a systematic review, we identified 221 patients treated surgically for VGA (FIGO stage Ia-Ib
CONCLUSION CONCLUSIONS
Excessive tumor-handling during MIS or manipulations, e.g. cervix-dilation (during delivery), can worsen the otherwise excellent prognosis.

Identifiants

pubmed: 32487598
pii: 40/6/3049
doi: 10.21873/anticanres.14285
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3049-3053

Informations de copyright

Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Anna Dietl (A)

Department of Obstetrics and Gynecology, University of Erlangen, Erlangen, Germany anna.dietl@uk-erlangen.de.

Konrad Aumann (K)

Institute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Matthias W Beckmann (MW)

Department of Obstetrics and Gynecology, University of Erlangen, Erlangen, Germany.

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Classifications MeSH