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Maximum Effort in the Management of Ovarian Cancer, Including Pelvic and Para-aortic Lymphadenectomy 总被引:4,自引:0,他引:4
D. G. Allen MMed FCOG FRACOG R. S. Planner FRCOG FRACOG CGO P. T. Grant FRCS FRACOG CGO 《The Australian & New Zealand journal of obstetrics & gynaecology》1992,32(1):50-53
Patients treated for ovarian cancer at the Mercy Hospital for Women, Melbourne over a 5 1/2 year period were studied with an emphasis on the need for lymphadenectomy. There were 80 patients identified with ovarian cancer. Forty patients underwent pelvic and/or para-aortic lymphadenectomy and 25 (62.5%) were found to have lymph node metastases, in 7 of the 40 women the lymphadenectomy resulting in upstaging of the disease. FIGO has adopted a surgicopathological approach to the staging of ovarian cancer and this requires lymphadenectomy to be performed. The importance of accurate staging in clinically early ovarian cancer and maximum surgical effort in advanced disease is discussed with particular regard to the place of lymphadenectomy. 相似文献
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The Retained Ovary and the Residual Ovary Syndrome 总被引:3,自引:0,他引:3
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The value of local registry data for describing cervical cancer management and outcomes over three decades in Australia
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D. Roder DDSc MPH BDS M. Davy MBBS FRANZCOG CGO S. Selva‐Nayagam MBBS FRACP R. Gowda MSc MD MRCP FRCR FRANZCR S. Paramasivam MBBS MRCOG FRANZCOG CGO J. Adams MBBS PhD FRACP MRCP D. Keefe PSM MBBS MD FRACP FRCP M. Eckert MPH DNurs MN DipAppSc K. Powell BA Bus K. Fusco BHlthSci DipBiomedSc D. Buranyi‐Trevarton EN M. K. Oehler MD PhD FRANZCOG CGO 《European journal of cancer care》2018,27(1)
Registry data on invasive cervical cancers (n = 1,274) from four major hospitals (1984‐2012) were analysed to determine their value for informing local service delivery in Australia. The methodology comprised disease‐specific survival analyses using Kaplan‐Meier product‐limit estimates and Cox proportional hazards models and treatment analyses using logistic regression. Five‐ and 10‐year survivals were 72% and 68%, respectively, equating with relative survival estimates for Australia and the USA. Most common treatments were surgery and radiotherapy. Systemic therapies increased in recent years, generally with radiotherapy, but were less common for residents from less accessible areas. Surgery was more common for younger women and early‐stage disease, and radiotherapy for older women and regional and more advanced disease. The proportion of glandular cancers increased in‐step with national trends. Little evidence of variation in risk‐adjusted survival presented over time or by Local Health District. The study illustrates the value of local registry data for describing local treatment and outcomes. They show the lower use of systemic therapies among residents of less accessible areas which warrants further investigation. Risk‐adjusted treatment and outcomes did not vary by socio‐economic status, suggesting equity in service delivery. These data are important for local evaluation and were not available from other sources. 相似文献
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R. R. Sanders FRACOG FRCOG CGO 《The Australian & New Zealand journal of obstetrics & gynaecology》1992,32(4):375-376
A case of placenta praevia percreta involving the urinary bladder is presented. A classical Caesarean section was performed at 35 weeks' gestation but the placenta was left in situ and an elective hysterectomy was successfully performed 2 weeks postpartum. 相似文献
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Y. C. Leung Dip RACOG A. J. McCartney FRCOG FRACOG CGO 《The Australian & New Zealand journal of obstetrics & gynaecology》1990,30(2):172-175
We report 2 unusual gynaecological manifestations of Donovanosis in young tribal aborigines. The first patient presented for medical attention after haemorrhaging from a large pedunculated lesion arising from the left labium minus and majus. This lesion was subsequently confirmed as pseudo-elephantiasis resulting from long-standing Donovanosis of the vulva. The second patient, with initial findings consistent with a diagnosis of advanced cervical malignancy, was referred to the oncology service of a tertiary referral centre. Because of her age and race a differential diagnosis of Donovanosis was considered and subsequently confirmed on special staining (Warthin-Starry) of biopsy specimens. No evidence of malignancy was found in these specimens. 相似文献
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Bruce Ward PhD FRCOG FRACOG CGO Sujata Pradhan DGO MCPS MBBS 《The Australian & New Zealand journal of obstetrics & gynaecology》1999,39(1):91-92
Summary: A randomized controlled trial was undertaken comparing the efficacy and safety of low molecular weight (LMW) heparin (Fragmin) with sodium heparin for prophylaxis against postoperative thromboembolic disease after major gynaecological surgery. Women were randomized to receive subcutaneous injections of 5,000 U of either once daily LMW heparin or twice daily sodium heparin. A total of 566 women were recruited, of whom 552 completed the study. Most women (461) had malignant disease and 430 of these underwent radical surgery. The remainder underwent major, but not radical surgery. There were 5 thromboembolic events in the LMW heparin group and 2 in the sodium heparin group, with no significant difference between these groups. No significant difference was found in the incidence of intraoperative or postoperative transfusion in the 2 groups. The decision of which heparin to use in routine practice cannot be made on clinical grounds. 相似文献