Sloukgi J C, Guillemin F
Clinique Universitaire de Gynécologie, d'Obstétrique et de la Reproduction, Centre Hospitalier Régional St-Jacques, Besançon.
Rev Fr Gynecol Obstet. 1991 Apr;86(4):336-40.
The protocol recommended at the Centre Alexis Vautrin for the treatment of cancer of the cervical remnant is purely radiographic. The authors investigates repair surgery after the failure of radiotherapy in 8 cases, representing 9.3% of cases. He defines cancer of the cervical remnant by stressing the importance of a particularly difficult assessment of the extension and the methods of treatment. The series included 5 cases of cervicocolpectomies and 3 pelvic exenterations. The context was particularly unfavorable since the tumor had been irradiated and had developed a scarred region. Serious complications were not present in this series, but they should be recognized so that they can be prevented and some procedures adapted to local conditions, which include bladder, rectal and ureteral fistulae, occlusion and pelvic abscess. The rationale for surgery is based on the possibility of a cure and the prevention of locoregional progress which may be particularly painful and handicapping.
亚历克西斯·沃特兰中心推荐的治疗宫颈残端癌的方案完全是基于影像学的。作者对8例放疗失败后进行修复手术的病例进行了研究，占病例总数的9.3%。他通过强调对肿瘤范围进行特别困难的评估的重要性以及治疗方法来定义宫颈残端癌。该系列包括5例宫颈阴道切除术和3例盆腔脏器清除术。由于肿瘤已接受过放疗并形成了瘢痕区域，手术背景特别不利。该系列中未出现严重并发症，但应认识到这些并发症，以便能够预防它们，并使一些手术适应当地情况，包括膀胱、直肠和输尿管瘘、梗阻和盆腔脓肿。手术的基本原理是基于治愈的可能性以及预防局部区域进展，局部区域进展可能会特别疼痛且导致残疾。
