Questionnaire survey of the current status of radical trachelectomy in Japan

被引:12
作者
Sato, Shinya [1 ]
Aoki, Daisuke [2 ]
Kobayashi, Hiroaki [3 ]
Saito, Tsuyoshi [4 ]
Nishimura, Ryuichiro [5 ]
Nagano, Tadayoshi [6 ]
Yaegashi, Nobuo [7 ]
Enomoto, Takayuki [8 ]
Kigawa, Junzo [9 ]
机构
[1] Tottori Univ, Sch Med, Dept Obstet & Gynecol, Tottori 6838504, Japan
[2] Keio Univ, Sch Med, Dept Obstet & Gynecol, Tokyo 160, Japan
[3] Kyushu Univ, Grad Sch Med Sci, Dept Gynecol & Obstet, Fukuoka, Japan
[4] Sapporo Med Univ, Dept Obstet & Gynecol, Sch Med, Sapporo, Hokkaido, Japan
[5] Hyogo Canc Ctr, Dept Gynecol Oncol, Akashi, Hyogo, Japan
[6] Kitano Hosp, Dept Obstet & Gynecol, Osaka, Japan
[7] Tohoku Univ, Sch Med, Dept Obstet & Gynecol, Sendai, Miyagi 980, Japan
[8] Osaka Univ, Grad Sch Med, Dept Obstet & Gynecol, Osaka, Japan
[9] Tottori Univ Hosp, Ctr Canc, Tottori, Japan
关键词
Cervical cancer; Radical trachelectomy; Fertility-sparing; STAGE CERVICAL-CANCER; PREGNANCY;
D O I
10.1007/s10147-010-0146-6
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The number of young patients with cervical cancer has been increasing recently in Japan. Radical trachelectomy is a potential option for patients who wish to preserve their fertility, but its status is not clear. The present survey was conducted to clarify the status of radical trachelectomy in Japan. Questionnaires were mailed to 164 selected institutions based on tumor registration with the Japanese Obstetrics Gynecology Society. The subjects were patients undergoing radical trachelectomy between 2000 and 2008. The response rate to the questionnaire was 88.4% (145/164). Radical trachelectomy was performed on 269 patients in 26 institutions (17.9%) . Most cases (74.7%, 201/269) underwent an abdominal approach. Three institutions had performed more than 21 cases (max. 61 cases), whereas 8 institutions had performed only one case. Twenty pregnancies and 13 deliveries were achieved and the frequency of delivery later than the 29th gestational week was 62% (8/13). "Tumor size a parts per thousand currency sign2 cm (81%)" and "stage a parts per thousand currency signIb1 (96%)" were commonly regarded as indications for radical trachelectomy. On the other hand, 46% of the centers did not consider the histological type as an indication. This survey is the first report on the current status of radical trachelectomy in Japan. It reveals a difference in the criteria for surgery applied in each institution.
引用
收藏
页码:141 / 144
页数:4
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