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Dicu-Andreescu IG, Marincaș AM, Ungureanu VG, Ionescu SO, Prunoiu VM, Brătucu E, Simion L. Current Therapeutic Approaches in Cervical Cancer Based on the Stage of the Disease: Is There Room for Improvement? MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1229. [PMID: 37512041 PMCID: PMC10384945 DOI: 10.3390/medicina59071229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 06/19/2023] [Accepted: 06/28/2023] [Indexed: 07/30/2023]
Abstract
Cervical cancer continues to be among the most common malignancies in women, and in recent decades, important measures have been taken to reduce its incidence. The first and most important steps to achieve this goal are oriented toward prevention through screening programs and vaccination, mainly against oncogenic human papillomavirus (HPV) strains 16 and 18. The therapeutic approach is based on the diagnosis and treatment guidelines for cervical cancer, which establish for each stage (FIGO, TNM) specific conduct. These guidelines summarize quite precisely the elements of therapeutic practice, but, in some places, they leave optional variants based on which nuanced approaches could be established. Adherence to these guidelines, which include the performing of minor or major surgery, with or without chemotherapy and radiation therapy, combined with advanced imaging investigations, has been able to lead to a substantial increase in survival. The purpose of this literature review is to discuss the diagnosis and treatment options in cervical cancer depending on the histological type, FIGO staging, and patient performance index, taking into account the hospital resources available in middle-income countries (percentage of gross domestic product allocated to health services around 5.5%, in the case of Romania).
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Affiliation(s)
- Irinel-Gabriel Dicu-Andreescu
- Clinical Department No 10, General Surgery, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania
- Department of Oncological Surgery, Oncological Institute "Alexandru Trestioreanu", 022328 Bucharest, Romania
| | - Augustin-Marian Marincaș
- Clinical Department No 10, General Surgery, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania
- Department of Oncological Surgery, Oncological Institute "Alexandru Trestioreanu", 022328 Bucharest, Romania
| | - Victor-Gabriel Ungureanu
- Clinical Department No 10, General Surgery, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania
| | - Sînziana-Octavia Ionescu
- Clinical Department No 10, General Surgery, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania
- Department of Oncological Surgery, Oncological Institute "Alexandru Trestioreanu", 022328 Bucharest, Romania
| | - Virgiliu-Mihail Prunoiu
- Clinical Department No 10, General Surgery, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania
- Department of Oncological Surgery, Oncological Institute "Alexandru Trestioreanu", 022328 Bucharest, Romania
| | - Eugen Brătucu
- Clinical Department No 10, General Surgery, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania
- Department of Oncological Surgery, Oncological Institute "Alexandru Trestioreanu", 022328 Bucharest, Romania
| | - Laurențiu Simion
- Clinical Department No 10, General Surgery, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania
- Department of Oncological Surgery, Oncological Institute "Alexandru Trestioreanu", 022328 Bucharest, Romania
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Micha JP, Goldstein BH, Rettenmaier MA, Brown JV. Neovagina Reconstruction Utilizing the Bladder and Urethra Following Radical Radiation Therapy. J Gynecol Surg 2006. [DOI: 10.1089/gyn.2006.22.73] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- John P. Micha
- Gynecologic Oncology Associates and Hoag Hospital Cancer Center, Newport Beach, CA
| | - Bram H. Goldstein
- Gynecologic Oncology Associates and Hoag Hospital Cancer Center, Newport Beach, CA
| | - Mark A. Rettenmaier
- Gynecologic Oncology Associates and Hoag Hospital Cancer Center, Newport Beach, CA
| | - John V. Brown
- Gynecologic Oncology Associates and Hoag Hospital Cancer Center, Newport Beach, CA
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