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Pelvic exenteration for carcinoma of the cervix: Analysis of 252 cases

✍ Scribed by Hector Rodriguez Cuevas; Alfonso Torres; Mario De La Garza; Dimas Hernandez; Dr. Lemuel Herrera


Publisher
John Wiley and Sons
Year
1988
Tongue
English
Weight
431 KB
Volume
38
Category
Article
ISSN
0022-4790

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✦ Synopsis


We present the results of 252 pelvic exenterations for primary and recurrent carcinoma of the cervix at the Hospital General de Mexico, a tertiarycare institution for the indigent. Emphasis is placed on the morbidity and mortality of the procedure in relation to patient selection. In underdeveloped countries, where early detection of cervical cancer is a rare event, pelvic exenteration must continue in the armamentarium of physicians; it can be associated with gains in the quality of life, with long-term survival, with effective rehabilitation, and possibly with cures.


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Carcinoma of the colon and rectum is one of the most common causes of cancer deaths in the United States. The mortality of patients treated by surgery alone is 55% within 5 years of surgery. Despite efforts to decrease local recurrence and their concomitant problems of pain and disability, a signifi