2009
DOI: 10.1016/j.ajog.2009.06.015
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Primary therapy for early-stage cervical cancer: radical hysterectomy vs radiation

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Cited by 105 publications
(97 citation statements)
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References 26 publications
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“…With the introduction of cervical cytological scanning and improved early diagnosis, its morbidity and mortality have significantly decreased in the past four decades (Bansal et al 2009;Kosmas et al 2009). Most cases of clinical early-stage disease (stages IA1-IIA, according to the International Federation of Gynecology and Obstetrics) are treated and cured with either hysterectomy or primary radiotherapy.…”
Section: Introductionmentioning
confidence: 99%
“…With the introduction of cervical cytological scanning and improved early diagnosis, its morbidity and mortality have significantly decreased in the past four decades (Bansal et al 2009;Kosmas et al 2009). Most cases of clinical early-stage disease (stages IA1-IIA, according to the International Federation of Gynecology and Obstetrics) are treated and cured with either hysterectomy or primary radiotherapy.…”
Section: Introductionmentioning
confidence: 99%
“…However, the patient population with endothelial injury becomes much younger recently and the disease rate is rising. The treatment options for patients including surgical repairing, PCI or drug therapy [9,10].…”
Section: Discussionmentioning
confidence: 99%
“…MIF is a type of cytokine which can promote tumor genesis and produced by activated T cells. It can also inhibit the migration of mononuclear and macrophage, influence the cell divides and induce malignant transformation [9]. MIF is not only limited to generate angiogenesis in tumor, but also expressed in ECM and basement membrane; rather, it is also profoundly involved in the secretion of vascular endothelial growth factor (VEGF), and even plays a critical part in carcinogenesis [10].…”
Section: Discussionmentioning
confidence: 99%
“…The multivariate analysis showed that there was a 59% reduction in cancer-specific mortality with the performance of radical surgery and 52% reduction in overall mortality for radiotherapy. 4 Thus, radical hysterectomy was deemed superior to primary radiation because of higher survival rate and decreased morbidity. Despite its advantage (no abdominal incisions required) as well as attendant disadvantages (radiationrelated complications and higher morbidity rate), primary radiation, in this case, does not necessarily qualify as MIT.…”
Section: Treatments Without Incisions Are Not Always Mitmentioning
confidence: 99%