ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT UNG THƯ CỔ TỬ CUNG GIAI ĐOẠN FIGO IB1-IIA1 TẠI TRUNG TÂM UNG BƯỚU THÁI NGUYÊN

Abstract

Objective: To evaluate the outcomes of surgery for cervical cancer stage FIGO IB1-IIA1 at the Oncology Center of Thai Nguyen Central Hospital. Method: A retrospective descriptive study of 79 patients with stage FIGO IB1-IIA1 cervical cancer who underwent radical hysterectomy at the Oncology Center, Thai Nguyen Central Hospital from November 1, 2015 to December 30, 2023. Results: Mean age was 50 ± 10.4 years old. The rate of postoperative pelvic lymph node metastasis was 12.7%. Pelvic lymph node metastasis was statistically significantly associated with: Tumor size, DSI level, LVSI status (p<0.0001). The most common early postoperative complication was urinary retention (11.4%). The most common late postoperative complication was ureteral stenosis (3.8%). The most common late complication in the group of patients who received postoperative adjuvant radiotherapy was hemorrhagic proctitis (35.7%). Mean overall survival (OS) was 79.9 ± 3.0 months. The 3-year and 5-year OS rates were 93.5% và 89.0%, respectively. Mean disease-free survival (DFS) was 71.9 ± 4.9 months The 3-year and 5-year DFS rates were 85,0% và 70,8%, respectively. Conclusion: Radical surgery for cervical cancer is a safe and highly effective treatment in terms of oncology, with complications within acceptable limits and mainly acute complications, good recovery and low rate of chronic complications.