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Radical Surgery for Pelvic Malignancies
Author(s) -
Sotto Luciano S. J.,
Manahan Constantino P.
Publication year - 1973
Publication title -
the journal of the asian federation of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0377-0532
DOI - 10.1111/j.1447-0756.1973.tb00010.x
Subject(s) - pelvic exenteration , medicine , radical hysterectomy , vulvectomy , radical vulvectomy , cervical cancer , surgery , radical surgery , cervix , vagina , vulvar cancer , vulva , cancer
From June 1, 1961 to May 31, 1973, or a 12‐year period, we performed a total of 188 radical pelvic operations in the Department of Obstetrics and Gynecology of the Philippine General Hospital. Radical hysterectomy was done on 142 patients, pelvic exenteration on 16, radical vulvectomy and bilateral groin and pelvic node dissection on 27, and a combined radical vulvectomy and pelvic exenteration on 3. There were 157 patients with cancer of the cervix, 26 with cancer of the vulva, 3 with cancer of the vagina, and one each with cancer of the ovary and corpus uteri. Pelvic exenteration had the highest mortality and morbidity rates, followed by radical hysterectomy. There was no mortality in the radical vulvectomy group. The long‐term survival rate (3–12 years) with radical vulvectomy was 79%, with radical hysterectomy for cancer of the cervix, stage I was 72%, for stage H‐a, was 643%, and for recurrent cervical cancer was 36.8%. In the pelvic exenteration group, the long‐term survival rate (3–12 years) was 43.7%. Those patients who underwent a combined radical vulvectomy and pelvic exenteration had the lowest survival rate, 33.3%.