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[The importance of paraclinical indices, therapeutic and other factors for the late treatment results and prognosis in stage-Ib cervical cancer].

Authors
Type
Published Article
Journal
Akusherstvo i ginekologii︠a︡
Publication Date
Volume
29
Issue
2
Pages
41–46
Identifiers
PMID: 2400058
Source
Medline
License
Unknown

Abstract

The study was carried out on 106 women with carcinoma of the uterine cervix at the first clinical stage, treated with the operation according to Wertheim (as single treatment and combined with gamma teletherapy of the whole pelvis--preoperative and postoperative). Survival and prognostic value of the examined factors were evaluated by Kaplan-Meier. The five-year survival of the whole population was 85.80%. The prognostic significance of tumourous volume was established: 95.78% of women with initial tumourous lesion survived five years, but 75.30% of women with advanced lesion survived. Pretherapeutic values of erythrocyte sedimentation rate had also prognostic significance--accelerates sedimentation rate was connected with lower survival. However, it was established that accelerated sedimentation rate was connected with larger tumourous volume, therefore its prognostic significance was indirect. Prognostic value with borderline statistical significance showed pretherapeutic value of hemoglobin and the season of operation. Low hemoglobin and spring-summer season of the operation indicated a tendency to a lower survival. Leucocytosis, blood grouping of the patients, time duration of the operation, etc. had no significant effect on the five-year survival.

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