Isolated pulmonary metastases in patients with cervical cancer and the factors affecting survival after recurrence.

Abstract:

OBJECTIVES:The aim of this study was to assess the treatment options and survival of uterine cervical cancer (UCC) patients who develop isolated pulmonary metastases (IPM) and to establish risk factors for IPM. MATERIAL AND METHODS:Data from patients diagnosed with UCC between June 1991 and January 2017 at the Gynecological Oncology Department, Tepecik Training and Research Hospital, were investigated. In total, 43 cases with IPM were evaluated retrospectively. Additionally, 172 control patients diagnosed with UCC without recurrence were matched according to the International Federation of Gynecology and Obstetrics (FIGO) 2009 stage when the tumor was diagnosed. They wereselected using a dependent random sampling method. RESULTS:Of the 890 patients with UCC, 43 (4.8%) had IPM. The presence of lymphovascular space invasion (LVSI) and a mid-corpuscular volume (MCV) < 80 fL were statistically significant prognostic factors for IPM development in UCC patientsaccording to univariate regression analyses, and the presence of LVSI, a hemoglobin level < 12 g/dL, and an MCV < 80 fLwere statistically significant according to the multivariate regression analyses. We were unable to assess the role of lymph node status (involvement or reactive) as a prognostic factor in the development of IPM, because only seven patients (16.2%) in the case group underwent lymph node dissection. CONCLUSIONS:IPM typically develops within the first 3 years after the diagnosis of UCC, and survival is generally poor. An MCV < 80 fL and the presence of LVSI are significant risk factors for IPM development.

journal_name

Ginekol Pol

journal_title

Ginekologia polska

authors

Gülseren V,Kocaer M,Güngördük Ö,Özdemir İA,Gölbaşı C,Budak A,Gökçü M,Sancı M,Güngördük K

doi

10.5603/GP.a2018.0102

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

593-598

issue

11

eissn

0017-0011

issn

2543-6767

pii

VM/OJS/J/59534

journal_volume

89

pub_type

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