Abstract
Recurrent cervical cancer is a difficult challenge for gynecological oncologist. In this paper we review papers concerning incidence and surgical treatment of pelvic recurrences. A point of interest is studies evaluating completion surgery after radiotherapy/chemoradiotherapy. Surgery after definitive radiotherapy is associated with high morbidity and should be performed only in patients with residual tumor. Magnetic resonance imaging in special regimen can be useful in detecting residual disease.
Highlights
Recurrent cervical cancer is a difficult challenge for gynecological oncologist
In this paper we review papers concerning incidence and surgical treatment of pelvic recurrences
Surgery after definitive radiotherapy is associated with high morbidity and should be performed only in patients with residual tumor
Summary
Recurrent cervical cancer is a difficult challenge for gynecological oncologist. In this paper we review papers concerning incidence and surgical treatment of pelvic recurrences. Основной причиной летальности после лучевой терапии (ЛТ) местно-распространенного рака шейки матки (РШМ) являются локальные рецидивы, развивающиеся у 30–50 % всех пролеченных пациенток даже при видимом первичном эффекте лечения. У большинства пациенток развился центральный или латеральный тазовый рецидив, в основном в первые 2 года после завершения лечения. ––центральный или латеральный тазовый рецидив у пациенток после хирургического лечения без адъювантного облучения;
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