Limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma

The objective of this study was to evaluate the value of vaginal cytology in routine surveillance for recurrent cervical cancer after surgery. We reviewed the medical records of 565 patients with stage IB-IIA cervical cancer who were treated with radical hysterectomy and pelvic lymphadenectomy (RHPL...

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Main Authors: Napat Injumpa, Prapaporn Suprasert, Jatupol Srisomboon, Kanchana Nimmanahaeminda, Chailert Phongnarisorn, Sitthicha Siriaree, Kittipat Charoenkwan, Chalong Cheewakriangkrai, Chumnan Kietpeerakool
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Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/61548
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-615482018-09-11T09:01:13Z Limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma Napat Injumpa Prapaporn Suprasert Jatupol Srisomboon Kanchana Nimmanahaeminda Chailert Phongnarisorn Sitthicha Siriaree Kittipat Charoenkwan Chalong Cheewakriangkrai Chumnan Kietpeerakool Biochemistry, Genetics and Molecular Biology Medicine The objective of this study was to evaluate the value of vaginal cytology in routine surveillance for recurrent cervical cancer after surgery. We reviewed the medical records of 565 patients with stage IB-IIA cervical cancer who were treated with radical hysterectomy and pelvic lymphadenectomy (RHPL) and attended follow- up at Chiang Mai University Hospital between January 2000 and May 2006. With the median follow-up of 35 months (range 1-76 months), 23 (4%) patients developed recurrence. The interval from surgery to detection of recurrence ranged from 5-61 months with a median of 23 months. Of the total 4,376 vaginal smears, 5 (0.1%) showed abnormal cytology but only 1 had malignant cells and tumor recurrence. The sensitivity and specificity of vaginal cytology for detection of recurrence were 4.3% and 99.3%, respectively. In conclusion, vaginal cytology has limited value in detection of recurrence after RHPL for early-stage cervical cancer. 2018-09-11T08:54:51Z 2018-09-11T08:54:51Z 2006-01-01 Journal 2476762X 15137368 2-s2.0-33947510532 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=33947510532&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/61548
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Biochemistry, Genetics and Molecular Biology
Medicine
spellingShingle Biochemistry, Genetics and Molecular Biology
Medicine
Napat Injumpa
Prapaporn Suprasert
Jatupol Srisomboon
Kanchana Nimmanahaeminda
Chailert Phongnarisorn
Sitthicha Siriaree
Kittipat Charoenkwan
Chalong Cheewakriangkrai
Chumnan Kietpeerakool
Limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma
description The objective of this study was to evaluate the value of vaginal cytology in routine surveillance for recurrent cervical cancer after surgery. We reviewed the medical records of 565 patients with stage IB-IIA cervical cancer who were treated with radical hysterectomy and pelvic lymphadenectomy (RHPL) and attended follow- up at Chiang Mai University Hospital between January 2000 and May 2006. With the median follow-up of 35 months (range 1-76 months), 23 (4%) patients developed recurrence. The interval from surgery to detection of recurrence ranged from 5-61 months with a median of 23 months. Of the total 4,376 vaginal smears, 5 (0.1%) showed abnormal cytology but only 1 had malignant cells and tumor recurrence. The sensitivity and specificity of vaginal cytology for detection of recurrence were 4.3% and 99.3%, respectively. In conclusion, vaginal cytology has limited value in detection of recurrence after RHPL for early-stage cervical cancer.
format Journal
author Napat Injumpa
Prapaporn Suprasert
Jatupol Srisomboon
Kanchana Nimmanahaeminda
Chailert Phongnarisorn
Sitthicha Siriaree
Kittipat Charoenkwan
Chalong Cheewakriangkrai
Chumnan Kietpeerakool
author_facet Napat Injumpa
Prapaporn Suprasert
Jatupol Srisomboon
Kanchana Nimmanahaeminda
Chailert Phongnarisorn
Sitthicha Siriaree
Kittipat Charoenkwan
Chalong Cheewakriangkrai
Chumnan Kietpeerakool
author_sort Napat Injumpa
title Limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma
title_short Limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma
title_full Limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma
title_fullStr Limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma
title_full_unstemmed Limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma
title_sort limited value of vaginal cytology in detecting recurrent disease after radical hysterectomy for early stage cervical carcinoma
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=33947510532&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/61548
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