Objective: The aim of this narrative review is to update the current knowledge on the treatment of recurrent cervical cancer based on a literature review. Material and methods: A web based search in Medline and CancerLit databases has been carried out on recurrent cervical cancer management and treatment. All relevant information has been collected and analyzed, prioritizing randomized clinical trials. Results: Cervical cancer still represents a significant problem for public health with an annual incidence of about half a million new cases worldwide. Percentages of pelvic recurrences fluctuate from 10% to 74% depending on different risk factors. Accordingly to the literature, it is suggested that chemoradiation treatment (containing cisplatin and/or taxanes) could represent the treatment of choice for locoregional recurrences of cervical cancer after radical surgery. Pelvic exenteration is usually indicated for selected cases of central recurrence of cervical cancer after primary or adjuvant radiation and chemotherapy with bladder and/or rectum infiltration neither extended to the pelvic side walls nor showing any signs of extrapelvic spread of disease. Laterally extended endopelvic resection (LEER) for the treatment of those patients with a locally advanced disease or with a recurrence affecting the pelvic wall has been described. Conclusions: The treatment of recurrences of cervical carcinoma consists of surgery, and of radiation and chemotherapy, or the combination of different modalities taking into consideration the type of primary therapy, the site of recurrence, the disease-free interval, the patient symptoms, performance status, and the degree to which any given treatment might be beneficial. © 2010 Elsevier Ltd. All rights reserved.

Peiretti, M., Zapardiel, I., Zanagnolo, V., Landoni, F., Morrow, C., Maggioni, A. (2012). Management of recurrent cervical cancer: A review of the literature. SURGICAL ONCOLOGY, 21(2), 59-66 [10.1016/j.suronc.2011.12.008].

Management of recurrent cervical cancer: A review of the literature

Landoni F.;
2012

Abstract

Objective: The aim of this narrative review is to update the current knowledge on the treatment of recurrent cervical cancer based on a literature review. Material and methods: A web based search in Medline and CancerLit databases has been carried out on recurrent cervical cancer management and treatment. All relevant information has been collected and analyzed, prioritizing randomized clinical trials. Results: Cervical cancer still represents a significant problem for public health with an annual incidence of about half a million new cases worldwide. Percentages of pelvic recurrences fluctuate from 10% to 74% depending on different risk factors. Accordingly to the literature, it is suggested that chemoradiation treatment (containing cisplatin and/or taxanes) could represent the treatment of choice for locoregional recurrences of cervical cancer after radical surgery. Pelvic exenteration is usually indicated for selected cases of central recurrence of cervical cancer after primary or adjuvant radiation and chemotherapy with bladder and/or rectum infiltration neither extended to the pelvic side walls nor showing any signs of extrapelvic spread of disease. Laterally extended endopelvic resection (LEER) for the treatment of those patients with a locally advanced disease or with a recurrence affecting the pelvic wall has been described. Conclusions: The treatment of recurrences of cervical carcinoma consists of surgery, and of radiation and chemotherapy, or the combination of different modalities taking into consideration the type of primary therapy, the site of recurrence, the disease-free interval, the patient symptoms, performance status, and the degree to which any given treatment might be beneficial. © 2010 Elsevier Ltd. All rights reserved.
Recensione in rivista
Cervical cancer treatment; Chemotherapy; Pelvic exenteration; Radiation therapy; Antineoplastic Combined Chemotherapy Protocols; Combined Modality Therapy; Female; Humans; Hysterectomy; Intraoperative Care; Lung Neoplasms; Lymphatic Metastasis; Neoplasm Recurrence, Local; Neoplasm, Residual; Pelvic Neoplasms; Uterine Cervical Neoplasms
English
2012
21
2
59
66
none
Peiretti, M., Zapardiel, I., Zanagnolo, V., Landoni, F., Morrow, C., Maggioni, A. (2012). Management of recurrent cervical cancer: A review of the literature. SURGICAL ONCOLOGY, 21(2), 59-66 [10.1016/j.suronc.2011.12.008].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/264498
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