Quality of Life, Urogynecological Morbidity, and Lymphedema After Radical Vaginal Trachelectomy for Early-Stage Cervical Cancer

Frøding, Ligita Paskeviciute; Ottosen, Christian; Mosgaard, Berit Jul; Jensen, Pernille Tine

doi:10.1097/igc.0000000000000395

Cited by 24 publications

(16 citation statements)

References 36 publications

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“…The mean value of lymphedema in this study was among the highest five values aside from sexual worry, menopause symptoms, body image, and symptoms experienced. Other studies noted similar findings where a significant number of the participants reported lymphedema related symptoms (Frøding, Ottosen, Mosgaard, & Jensen, 2015;Lee et al, 2016). In patients with cervical cancer, treatment modalities, including chemotherapy and radiotherapy in the pelvic area, exacerbates the symptoms of lymphedema.…”

Section: Discussionsupporting

confidence: 60%

The Quality of Life of Women with Cervical Cancer in Indonesia: A Cross-Sectional Study

Afiyanti

Wardani

Martha

2019

Nurs. Med. J. Nursing

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Background: Cervical cancer have significant impacts on the quality of life (QOL) of the women experiencing it. Limited studies are exploring QOL among Indonesian women diagnosed with cervical cancer.Purpose: This study aimed to investigate the QOL of women with cervical cancer who received radiation therapy and chemotherapy. Methods: A cross-sectional study was conducted to evaluate the QOL among 164 women with cervical cancer undergoing treatment. A consecutive sampling technique was used to recruit the samples. The EORTC QLQ-C 30 and QLQ-CX 24 were used to measure the QOL and sexual-related symptoms. The data collected were analyzed and presented as descriptive statistics in the form of means and standard deviations. Results: The mean of the global health status of general well-being and QOL of the women was 54.56 ± 25.47. In the QOL subgroups of functional status, the physical function (55.94) and role functions (55.34) were most frequently reported to affect QOL. Regarding sexual-related symptoms of the women, sexual worry (52.72) and menopause symptoms (48.03) were the two most prevalent symptoms which impacted QOL.Conclusions: The quality of life of women with cervical cancer in Indonesia was generally at the higher end of the scale, and yet the majority of the women reported high prevalent symptoms of cancer and adverse effects of treatments. Comprehensive, high quality and culturally sensitive care for women with cervical cancer needs to be implemented in Indonesia, which has unique social and cultural beliefs.

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Section: Discussionsupporting

confidence: 60%

The Quality of Life of Women with Cervical Cancer in Indonesia: A Cross-Sectional Study

Afiyanti

Wardani

Martha

2019

Nurs. Med. J. Nursing

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“…Two studies evaluated the incidence of LLL in patients who underwent radical trachelectomy, reporting an incidence of 11% (44) and 24.1% (45) respectively (both relying on subjective evaluations). In the study of Frodig et al, women who underwent trachelectomy had persistent LLL comparable to that experienced by patients treated with radical abdominal hysterectomy and significantly higher than those reported by healthy control women (p=0.031) (44). This is not surprising as lymphadenectomy is performed in trachelectomy as well.…”

Section: Incidencementioning

confidence: 67%

“…Conversely, other studies reported no differences between the laparoscopic and the laparotomic lymphadenectomy procedure (1,44). Comparing abdominal radical hysterectomy versus robotic radical hysterectomy, LLL was significantly higher in the laparotomic group (27.5% vs. 8.3%, p=0.001) (50).…”

Section: Incidencementioning

confidence: 74%

Lower Body Lymphedema in Patients with Gynecologic Cancer

Biglia

Zanfagnin

Daniele

et al. 2017

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“…Prior to the introduction of sentinel lymph node mapping, the rates of treatment-related lower extremity lymphedema ranged from 10%24 when assessed retrospectively to 41%25 when prospectively assessed using objective metrics. The rates of lower extremity lymphedema after fertility-sparing surgery with radical trachelectomy fall within this range at 24%, as lymphadenectomy is also done in these cases 26…”

Section: Secondary Lymphedema In Gynecologic Malignanciesmentioning

confidence: 98%

Lower extremity lymphedema in patients with gynecologic malignancies

Dessources

Aviki

Leitao

2020

International Journal of Gynecological Cancer

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Lower extremity lymphedema is a chronic, often irreversible condition that affects many patients treated for gynecologic malignancies, with published rates as high as 70% in select populations. It has consistently been shown to affect multiple quality of life metrics. This review focuses on the pathophysiology, incidence, trends, and risk factors associated with lower extremity lymphedema secondary to the treatment of cervical, endometrial, ovarian, and vulvar cancers in the era of sentinel lymph node mapping. We review traditional and contemporary approaches to diagnosis and staging, and discuss new technologies and imaging modalities. Finally, we review the data-based treatment of lower extremity lymphedema and discuss experimental treatments currently being developed. This review highlights the need for more prospective studies and objective metrics, so that we may better evaluate and serve these patients.

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Quality of Life, Urogynecological Morbidity, and Lymphedema After Radical Vaginal Trachelectomy for Early-Stage Cervical Cancer

Abstract: Patients treated with RVT for early-stage cervical cancer had persistent bladder emptying problems and lymphedema comparable to those experienced by patients treated with RAH and significantly higher than those reported by healthy control women.

Cited by 24 publications

References 36 publications

The Quality of Life of Women with Cervical Cancer in Indonesia: A Cross-Sectional Study

The Quality of Life of Women with Cervical Cancer in Indonesia: A Cross-Sectional Study

Lower Body Lymphedema in Patients with Gynecologic Cancer

Lower extremity lymphedema in patients with gynecologic malignancies

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