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Annals of Oncology 15:218-223, 2004
© 2004 European Society for Medical Oncology

Original Paper

Value of routine follow-up procedures for patients with stage I/II cervical cancer treated with combined surgery–radiation therapy

Received 16 June 2003; accepted 9 September 2003

Background:

The aim of this study was to determine the value of routine follow-up for the detection of recurrence in patients treated for cervical cancer.

Patients and methods:

From 1986 to 1998, 583 women with stage I and II cervical carcinoma were treated with combined surgery–radiation therapy. After treatment, follow-up was based on clinical examination, a systematic Pap smear and radiography (chest X-ray and abdomino-pelvic ultrasonography).

Results:

Forty-five patients had recurrence observed with a delay ≥6 months following the end of treatment. Thirty-eight patients had symptoms and seven were asymptomatic at the time of their recurrence. Among asymptomatic patients only two recurrences were diagnosed following routine examinations. Survival is similar in asymptomatic and symptomatic recurrent patients.

Conclusions:

In conclusion, follow-up of patients treated for cervical cancer based on routine Pap smears and systematic radiography does not permit earlier detection of recurrence and does not increase survival.

P. Morice1,*, C. Deyrolle1, A. Rey2, D. Atallah1, P. Pautier2, S. Camatte1, A. Thoury1, C. Lhomme3, C. Haie-Meder4 and D. Castaigne1

Departments of 1 Gynecologic Surgery, 2 Biostatistics, 3 Oncology and 4 Radiotherapy, Institut Gustave Roussy, Villejuif, France

Key words: cervical cancer, chest X-ray, follow-up, pap smears, recurrence


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