TY - JOUR
T1 - Diagnosis of recurrent cervical carcinoma after radical hysterectomy
AU - Larson, Dale M.
AU - Copeland, Larry J.
AU - Malone, John M.
AU - Stringer, C. Allen
AU - Gershenson, David M.
AU - Edwards, Creighton L.
N1 - Copyright:
Copyright 2015 Elsevier B.V., All rights reserved.
PY - 1988/1
Y1 - 1988/1
N2 - A standard surveillance program for cervical carcinoma patients treated with radical hysterectomy is reviewed. Between 1962-1984, 249 patients with stage IB cervical carcinoma treated with radical hysterectomy and pelvic lymphadenectomy were entered in the surveillance program. Of the 27 patients (11%) diagnosed with recurrent carcinoma, 17 (63%) were identified by clinical history, 22 (81%) by physical examination, five (18%) by vaginal cytology, six (22%) by chest radiography, and eight (30%) by renal contrast imaging. Combined clinical history and physical examination identified 24 patients (89%) with recurrent carcinoma. Disease recurrence was detected by vaginal cytology in one asymptomatic patient with a normal examination. The recommended surveillance procedures for patients with cervical carcinoma after radical hysterectomy include clinical history, physical examination, and vaginal cytology. Chest radiography and renal contrast imaging should be reserved for symptomatic patients.
AB - A standard surveillance program for cervical carcinoma patients treated with radical hysterectomy is reviewed. Between 1962-1984, 249 patients with stage IB cervical carcinoma treated with radical hysterectomy and pelvic lymphadenectomy were entered in the surveillance program. Of the 27 patients (11%) diagnosed with recurrent carcinoma, 17 (63%) were identified by clinical history, 22 (81%) by physical examination, five (18%) by vaginal cytology, six (22%) by chest radiography, and eight (30%) by renal contrast imaging. Combined clinical history and physical examination identified 24 patients (89%) with recurrent carcinoma. Disease recurrence was detected by vaginal cytology in one asymptomatic patient with a normal examination. The recommended surveillance procedures for patients with cervical carcinoma after radical hysterectomy include clinical history, physical examination, and vaginal cytology. Chest radiography and renal contrast imaging should be reserved for symptomatic patients.
UR - http://www.scopus.com/inward/record.url?scp=0023846134&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023846134&partnerID=8YFLogxK
M3 - Article
C2 - 3336543
AN - SCOPUS:0023846134
SN - 0029-7844
VL - 71
SP - 6
EP - 9
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 1
ER -