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Minimally Invasive Hysterectomy Shows Inferior Recurrence Rates in Early-Stage Cervical Cancer

Jessica Hergert
Published: Monday, Feb 24, 2020

cervical cancer Patients with early-stage cervical cancer who undergo minimally invasive radical hysterectomy (RH) have an inferior rate of disease-free survival (DFS) compared to women who undergo open abdominal RH, according to a recent retrospective analysis published in the Journal of Clinical Oncology.

The multi-institutional review reported that of 815 women with stage IA1 (with lymphovascular invasive), IA2, or IB1 squamous, adenocarcinoma, or adenosquamous adenocarcinoma of the cervix, 9.1% experienced recurrence with minimally invasive RH versus 7.5% with the open approach (P = .43).

Notably, neither the unadjusted analysis (HR, 1.14; 95% CI, 0.61-2.11) nor the risk-adjusted analysis (HR, 1.01; 95% CI, 0.50-2.20) demonstrated a significant difference in overall survival between the minimally invasive versus open abdominal approaches.

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