Prognosis After Treatment of Cervical Cancer IB1: Comparison Between Radical Histerectomy Piver II and Piver III

摘要

The article compares prognosis post - surgery in patients with cervical cancer Ib1 (FIGO 1988) with more than 2.0 cm, operated by technical type Piver II and Piver III in a hospital sample in Rio de Janeiro. Material and Method: The method used consists of a historical analysis of a group of women with cervical cancer in the aforementioned stage submitted to the two surgical techniques analyzed. The work seeks to compare them to find an outcome of interests, considering data related to the disease, treatment and post-treatment follow-up obtained from medical records. Results: Patients undergoing both surgical techniques did not have a significant difference in overall and diseasefree survival. The prognostic factors such as lymph node and parametrial commitment , surgical margins, deep invasion of miocervix and lymphovascular space shown to be related to worse overall and disease - free survival. Conclusion: Although there was no difference in global and disease-free survival, the group undergoing the Piver III technique had more severe tumors, so it would not be possible through the study to suggest a change in technique.