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Prognostic significance of ureteral obstruction in primary cervical cancer
Author(s) -
Lee S.K.,
Jones H.W.
Publication year - 1994
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(94)90024-8
Subject(s) - medicine , urinary diversion , percutaneous nephrostomy , cervical cancer , surgery , urinary tract obstruction , urinary system , nephrostomy , percutaneous , urinary obstruction , stage (stratigraphy) , urology , cancer , bladder cancer , cystectomy , paleontology , biology
OBJECTIVES: To evaluate the prognostic significance of ureteral obstruction in women with cervical cancer and the result of aggressive urinary diversion. METHODS: The clinical history and X‐rays of 52 women with Stage III and IV cervical cancer seen at Vanderbilt University between 1981 and 1991 were retrospectively reviewed. RESULTS: Twenty‐nine (55.8%) of these patients had unilateral [15] or bilateral [14] ureteral obstruction. There was no statistically significant difference in the survival of patients whether or not ureteral obstruction was present. Ten of fourteen women with bilateral ureteral obstruction and 4 of the 15 patients with unilateral obstruction underwent urinary diversion by percutaneous nephrostomy [9] or retrograde ureteral catheterization [5]. Complications were few. Although patients who underwent urinary diversion had somewhat better survival, it was not statistically significant. CONCLUSIONS: Some patients with ureteral obstruction due to advanced cervical cancer can be salvaged by prompt, aggressive urinary diversion, but large trials are needed to validate this approach.