RT Journal Article
SR Electronic
T1 EP250 Hysterectomy of closure after radiotherapy in cancers uterin collar at advance stages (retrospective study)
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP A197
OP A197
DO 10.1136/ijgc-2019-ESGO.311
VO 29
IS Suppl 4
A1 A Assal
A1 D Maazar
A1 M Serraj
A1 M Benhessou
A1 M Ennachit
A1 M El Karroumi
YR 2019
UL http://ijgc.bmj.com/content/29/Suppl_4/A197.2.abstract
AB Introduction/Background The standard treatment of locally advanced cervical cancer is the combination of a concurrent radiochemotherapy brachytherapy. The aime of this study was to evaluate the morbidity, also to determine the post therapeutic prognosis and its factors in disease free survival and overall survival at 2 years.Methodology An observational retrospective monocentric cohort concerning 82 patients cared for cervical cancer stage IB2 between 2016–2017 was conducted. All patients included in this study were treated with radiochemotherapy brachytherapy followed by a completion surgery.Results In this study, we had patients with epidermoide carcinoma in 93.90% and adenocaricnoma in 4.88%, with advanced stages, IIB (73.17%), IIIB (9.75%), IIA (12.19%), IB2 (1.22%) and IVA (1.22%). All patients recieved radiotherapy with 93.90% of patientes recieving between 41 and 50 Gy. 33 patients (40.24%) recieved a brachytherapy. 74 patientes (90.24%) recieved a chemotherapy (concomitant for 71 patients). The medium period of time between RCC and surgery was 12.5 weeks. The completion surgery was large (ACHE) in 75.61%, with a laparotomy in 63.41%. A lymphadenectomy was done at the same time in 75.61%. Peroperative difficulties were present in 6.10% of cases. Peroperative complications were observed in 16.63% (2.44% vascular lesion, 1.22% visceral lesion, 8.55% bleeding and 2.44% APO), no reanimation, surgical nor radiological treatment was required. None of the patients died in or after the surgery.Conclusion Our study found a miner and acceptable rate of per and postoperative complications with no gravity. The analysis of complications risk factors and the prognosis factors suggest that the complete response rate, and higher rate of overall survival and disease free survival could be improved.Disclosure Nothing to disclose.