Management of microinvasive cervical cancer: a British Society for Colposcopy and Cervical Pathology audit.
J Low Genit Tract Dis
; 16(4): 403-8, 2012 Oct.
Article
em En
| MEDLINE
| ID: mdl-22659775
ABSTRACT
UNLABELLED The incidence of microinvasive cervical cancers seems to be increasing as a result of screening. However, there is little national or international guidance on best management or follow-up of women treated with conservation of the cervix. OBJECTIVE:
The study aimed to assess the current management and follow-up of women with stage IA cervical cancer, according to the International Federation of Gynecology and Obstetrics, within the United Kingdom. DESIGN/SETTING:
This study is a multicenter national audit of a clinical practice in the United Kingdom. MATERIALS ANDMETHODS:
A structured questionnaire was sent and returned electronically to all lead colposcopists in the United Kingdom on the management and follow-up of women with stage IA cervical cancer according to the International Federation of Gynecology and Obstetrics. The study was approved by the British Society for Colposcopy and Cervical Pathology.RESULTS:
Of the 210 lead colposcopists, 110 (52%) responded. All reported that women with stage IA cervical cancer are discussed at a gynecologic multidisciplinary team meeting. Women who managed conservatively with their cervix in situ are followed up for at least 5 years. There is a wide variation in clinical management of cases with lymphovascular space involvement (LVSI) and depth of invasion greater than 3 mm (stage IA2).CONCLUSIONS:
The pattern and practice of follow-up for stage IA cervical cancer is highly variable. The development of national guidance should be considered.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias do Colo do Útero
Tipo de estudo:
Clinical_trials
/
Guideline
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article