지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 1 - 14 (14page)
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OBJECTIVE: To evaluate the opinions of women who underwent surgery for cervical cancer (CC) and physicians who treat CC about the acceptability of increased oncological risk after less-radical surgery. METHODS: One hundred eighty-two women who underwent surgery for CC and 101 physicians participated in a structured survey in 3 tertiary cancer centers in Czech Republic and Turkey. Patients and physicians were asked whether they would accept any additional oncological risks, which would be attributable to the omission of parametrectomy (radical hysterectomy/trachelectomy vs. simple hysterectomy/trachelectomy) or pelvic lymph node dissection (systematic resection vs. sentinel lymph node sampling). RESULTS: Although 52.2% of patients reported morbidity related to their previous treatment, the majority of patients would not accept less-radical surgical treatment if it was associated with any increased risk of recurrence (50%-55%, no risk; 17%-24%, risk <0.1%). Physicians tended to accept a significantly higher risk than patients in the Czech Republic, but not in Turkey. Patients with higher education levels, more advanced-stage of disease, or adverse events related to previous cancer treatment, and patients who received adjuvant therapy were significantly more likely to accept an increased oncological risk. CONCLUSION: Patients, even if they suffered from morbidity related to previous CC treatment, do not want to choose between oncological safety and a better quality of life. Physicians tend to accept the higher oncological risk associated with less-radical surgical procedures, but attitudes differ regionally. Professionals should be aware of this tendency when counselling the patients before less-radical surgery.
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참고문헌 (17)
참고문헌 신청
Barakat RR / 2013 / Principles and practice of gynecologic oncology / Wolters Kluwer/Lippincott Williams & Wilkins
Landoni F / 1997 / Randomised study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer / Lancet 350:535~540
Cibula D / 2009 / Abdominal radical trachelectomy in fertility-sparing treatment of early-stage cervical cancer / Int J Gynecol Cancer 19:1407~1411
Rema P / 2016 / Conservative surgery for early cervical cancer / Indian J Surg Oncol 7:336~340
Ye S / 2014 / Quality of life and sexual function of patients following radical hysterectomy and vaginal extension / J Sex Med 11:1334~1342
Landoni F / 1997 / Randomised study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer / Lancet 350:535~540
Cibula D / 2009 / Abdominal radical trachelectomy in fertility-sparing treatment of early-stage cervical cancer / Int J Gynecol Cancer 19:1407~1411
Rema P / 2016 / Conservative surgery for early cervical cancer / Indian J Surg Oncol 7:336~340
Ye S / 2014 / Quality of life and sexual function of patients following radical hysterectomy and vaginal extension / J Sex Med 11:1334~1342
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