Elsevier

Gynecologic Oncology

Volume 9, Issue 1, February 1980, Pages 90-98
Gynecologic Oncology

Results and complications of operative staging in cervical cancer: Experience of the Gynecologic Oncology Group

https://doi.org/10.1016/0090-8258(80)90013-XGet rights and content

Abstract

A multiinstitutional study by the Gynecologic Oncology Group (GOG) has confirmed that clinical staging often is inaccurate in determining the extent of disease in patients with cervical cancer. The finding of positive paraaortic nodes in 29% of patients with Stage II, III, and IV tumors supports this conclusion. In this series, the incidence of paraaortic nodal metastases could not be correlated with the histologic grade of the tumors. With positive paraaortic nodes, conventional treatment limited to the pelvis can be expected to fail, but it is still not clear how many patients can be salvaged by treatment to extended paraaortic radiation fields. Longer periods of follow-up in patients whose treatment plans were based on surgical staging information will be required.

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