Survival from cancer of the cervix after hysterectomy and trahelektomii.
Trahelektomiya for fertility preservation is conducted in a larger number of patients with cervical cancer, especially under the age of 30 years, according to new data.
Survival after the procedure is similar to survival after radical hysterectomy, but it is important to continue to monitor these patients, said Dr. Jason D. Wright, director of gynecologic oncology at the Medical Center, NewYork-Presbyterian / Columbia University in New York, New York City and senior author of the study.
Trahetsetomiya was first held in 1994, but the information about the patterns of use and safety procedures inadequate, Dr. Wright and his team note in obstetrics and gynecology, May 7. For the study, they used a national database of cancer, to look at patients with stage IA2 cervical cancer IB2, which in the period from 2004 to 2014 was conducted trahelektomiya or hysterectomy.
Among the 15 150 patients included in the study, they were 97.1% and 2.9% hysterectomy traheletomiyu. In general, the use of trahelektomii increased from 1.5% in 2004 to 3.8% in 2014. Women under 30 years old had the highest increase - from 4.6% to 17%.
Trahelektemiya was not associated with increased mortality, and five-year survival rate was 92.4% for hysterectomy and 92.3% for trahelektomii. The results remained unchanged when the authors analyzed the results on the tumor stage.
Younger women and those who have been diagnosed with cancer recently, are more likely to have traheletomiyu, while uninsured patients.
"Our data suggest that trahelektomiya no adverse effect on the survival of women with cervical cancer stage I, which it has been designated and the procedure can preserve fertility" - concludes Dr. Wright and his team.