Palliative pelvic exenteration for patients with gynecological malignancies.

Abstract:

PURPOSE:To evaluate the results of palliative pelvic exenteration in patients with gynecologic tumors. METHODS:A retrospective analysis was carried out in 13 patients from January 2000 to December 2007. The procedure was considered palliative because of distant metastatic disease or unresectable pelvic wall disease. Patients presented with bleeding, fistula, malodorous discharge or untreatable pain. RESULT:Overall complication rate was 38.4%. Mean follow-up time was 8 months. Actuarial 2 years overall survival was 15.4%. Six patients survived more than 5 months and three more than 12 months. All achieved symptoms control and favorable impact in quality of life. Two patients are with stable disease after 26 and 28 months. CONCLUSIONS:Palliative exenteration is a procedure with high morbidity and mortality rates and should only be offered to highly selected patients. The role of exenterative surgery in relieving severe symptoms in patients with incurable disease is yet to be established.

journal_name

Arch Gynecol Obstet

authors

Guimarães GC,Baiocchi G,Ferreira FO,Kumagai LY,Fallopa CC,Aguiar S,Rossi BM,Soares FA,Lopes A

doi

10.1007/s00404-010-1544-8

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

1107-12

issue

5

eissn

0932-0067

issn

1432-0711

journal_volume

283

pub_type

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