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Debate 45A - Should Adjuvant Hysterectomy be Performed for Patients with Locally Advanced Cervical Cancer Treated with Concurrent Chemoradiotherapy?

Yes

from Section V - Cervical Cancer

Published online by Cambridge University Press:  20 July 2023

Dennis S. Chi
Affiliation:
Memorial Sloan-Kettering Cancer Center, New York
Nisha Lakhi
Affiliation:
Richmond University Medical Center, Staten Island
Nicoletta Colombo
Affiliation:
University of Milan-Bicocca
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Summary

Adjuvant hysterectomy (AH) following concurrent chemoradiation (CCRT) for the management of locally advanced cervical cancer (LACC) is still subject for debate. While it is still not standard of care to perform adjuvant hysterectomy after CCRT due to limited data supporting this approach, as well as possible increased morbidity, there are practitioners who choose this approach in the hope of decreasing local recurrence, especially in the setting of chemo and radiation-resistant tumors after excluding metastatic disease. In this review we will focus on the available data that supports AH in the management of LACC.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

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Yang, J, et al. Extrafascial hysterectomy after concurrent chemoradiotherapy in locally advanced cervical adenocarcinoma. J Gynecol Oncol 2016;27(4):e40.CrossRefGoogle ScholarPubMed

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