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Original Research

Open Access

Cervical cuff carcinoma: causes and prevention

  • Z. Tsitsishvili1
  • L. Charkviani1
  • T. Charkviani1,*,

1Gynecological Clinic of Prof A. Gvamichava National Cancer Center, Tbilisi, Georgia

DOI: 10.12892/ejgo200206545 Vol.23,Issue 6,November 2002 pp.545-547

Published: 10 November 2002

*Corresponding Author(s): T. Charkviani E-mail:

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Abstract

Over an 11-year period (1990-2000) a total of 59 patients with cervical cuff carcinoma were hospitalized (I stage--17; II stage--30; III-IV stage--12 patients). Seventeen patients were subjected to radical extirpation with lymphadenectomy for cervical cuff carcinoma, while 42 patients received combined radiotherapy. In the last 20-year period the patients had undergone supravaginal amputation of the uterus due to uterine fibromyoma, polyposis, and ovarian tumors in various gynecological clinics. In 12 patients the onset of cervical cuff carcinoma occurred within one year after supravaginal amputation of the uterus; in another six patients cancer developed within two years postoperatively, 15 patients in a 3 to 9 year period and 26 developed cancer 10-20 years after surgery. It seems in fact that when cervical cuff carcinoma developed within one year after supravaginal amputation of the uterus the patients had cervical carcinoma which was not identified due to physician negligence. In cases of latent periods up to ten years the patients must have had at least pre-existing disease. To prevent development of cervical cuff carcinoma in the future when operating on the uterus and/or adnexa the scope of surgery (extirpation, amputation) shall be decided based on colposcopic examination of the cervix (target cytology).

Keywords

Cervical cuff carcinoma; Colposcopy; Prevention

Cite and Share

Z. Tsitsishvili,L. Charkviani,T. Charkviani. Cervical cuff carcinoma: causes and prevention. European Journal of Gynaecological Oncology. 2002. 23(6);545-547.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200206545

References

[1] Charkviani L., Toronjadze L.: "Cervical cancer after supravaginal amputation of the uterus". Research Institute of Oncology, Tbilisi, 1967, TIV, 267.

[2] Charkviani L.: "Surgical treatment of cervical cancer". Soviet Journal Georgia, Tbilisi, 1987, 3.

[3] Revazishvili T.: "Prevention and treatment of cervical cuff carcinoma". Leningrad, 1988, 3.

[4] Hint E. K.: "Carcinoma of cervical cuff, after supravaginal amputation, performed due to uterine fibromyoma". Leningrad, 1964.

[5] Serebrov A. I.: "Uterus cancer". Leningrad, Meditsina, 1968, 3.

[6] Vikhalaeva E. M.: "Management of patients with fibromyoma" Obstet. Gynecol. Medgiz, 1971, 9, 3.

[7] Bochman Ja. V.: "Manual on Oncogynecology". Leningrad, Medicina, 1989, 3.

[8] Gigineishvili M.: "Gynecology". Tbilisi, "Ganatleba", 1977, 3.

[9] Selezneva N. D.: "Benign and malignant tumors of genital tract" Obstet. Gynecology Medicina, 1980, 262.

[10] Baramidze E.: "Surgical treatment of uterine fibromyoma in aspect of prevention of cervical and ovarian carcinoma". AlmaAta, 1978, 3.

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