| Pathological findings of gynecologic organs obtained at female radical cystectomy. | |
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MedLine Citation:
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PMID: 12050510 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Historically anterior pelvic exenteration has been the recommended treatment for invasive urothelial carcinoma in women undergoing radical cystectomy. We evaluated the pathological features of reproductive organs removed during exenteration to determine the incidence of malignant pathology in these organs and the need for removal. MATERIALS AND METHODS: We reviewed the records of all patients who underwent radical cystectomy between January 1994 and December 2000. Of these 382 patients, we identified 68 females who underwent radical cystectomy for urothelial carcinoma. We reviewed preoperative, operative and pathological findings, including bladder, lymph nodes, uterine and adnexal pathology, in these female patients. RESULTS: Median patient age was 64 years (range 35 to 86). Gynecologic organs were present in 40 of the 68 surgical specimens (59%). The reasons for absent gynecologic pathology were previous hysterectomy in 26 cases and the preservation of organs during orthotopic urinary diversion creation in 2. Malignancy was identified in 3 specimens, including invasive urothelial carcinoma in 2 (5%). In these 2 cases invasion was clearly identified intraoperatively. Low grade stromal sarcoma of the uterus was present in 1 specimen (2%). CONCLUSIONS: In the absence of clinical suspicion radical hysterectomy at cystectomy rarely improves cancer control. Furthermore, secondary malignancies are rare. The functional impact of preserving gynecologic organs is a subject of ongoing study. |
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Authors:
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Sam S Chang; Emily Cole; Joseph A Smith; Michael S Cookson |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of urology Volume: 168 ISSN: 0022-5347 ISO Abbreviation: J. Urol. Publication Date: 2002 Jul |
Date Detail:
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Created Date: 2002-06-06 Completed Date: 2002-07-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: United States |
Other Details:
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Languages: eng Pagination: 147-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Carcinoma, Transitional Cell / pathology, secondary*, surgery Cystectomy* Endometrial Neoplasms / pathology, surgery* Female Genital Neoplasms, Female / pathology, secondary*, surgery Genitalia, Female / pathology Humans Hysterectomy Middle Aged Neoplasms, Multiple Primary / pathology, surgery* Pelvic Exenteration Sarcoma, Endometrial Stromal / pathology, surgery* Urinary Bladder Neoplasms / pathology, surgery* Urinary Reservoirs, Continent* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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