Nobbenhuis, M. A. E., Balasubramani, L., Kolomainen, D. F., Barton, D. P. J. (2012) Surgical management and follow-up of patients with cervical cancer: Survey of gynaecological oncologists in the UK. JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 32 (6). pp. 576-579. ISSN 0144-3615

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Abstract

We investigated current surgical management and follow-up of women with cervical cancer focusing on treatment of recurrent disease and the use of routine imaging during follow-up among gynaecological oncologists in the UK. A questionnaire including questions regarding perioperative management of primary disease in cervical cancer, follow-up post-treatment, assessment and management of recurrent cervical cancer, was sent to 84 gynaecological oncologists. Some 87% responded. Considerable variations in surgical management and follow-up were identified. With central recurrence of cervical cancer without prior radiotherapy, 90% would recommend radiotherapy instead of an exenteration. For central recurrence in irradiated women, only three (4%) would not recommend an exenteration. In women with pelvic sidewall relapse without prior radiotherapy, 65 responders (96%) would off er radiotherapy, while in pelvic sidewall relapse post-radiation 25 (37%) would recommend pelvic sidewall resection in a specialised centre. A total of 21% used routine imaging during follow-up. The wide variation in clinical practice indicates that there is a need to establish national guidelines for surgical management and follow-up of primary and recurrent cervical cancer.

Item Type:	Article
All Authors:	Nobbenhuis, M. A. E., Balasubramani, L., Kolomainen, D. F., Barton, D. P. J.
Additional Information:	ISI Document Delivery No.: 971VY Times Cited: 0 Cited Reference Count: 16 Nobbenhuis, M. A. E. Balasubramani, L. Kolomainen, D. F. Barton, D. P. J. Informa healthcare New york
Uncontrolled Keywords:	Cervical cancer follow-up guidelines imaging management treatment uterine-supporting-ligaments nerve plexus trauma radical hysterectomy surveillance carcinoma women
Research teams:	Clinical Units > Gynaecology Unit
Depositing User:	Barry Jenkins
Date Deposited:	06 Aug 2012 12:22
Last Modified:	06 Aug 2012 12:22
URI:	http://publications.icr.ac.uk/id/eprint/11844

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