Evidence map›Paper›PMID 37221579›Full record

ArticleBMC women's health2023

Advanced cervical stump cancer after laparoscopic subtotal hysterectomy: a case report of imaging, laparoscopic staging and treatment approach.

Dimitrios Andrikos, Argyrios Andrikos, Antoine Naem, Olga Ebertz, Rajesh Devassy, Rudy Leon De Wilde, Michael Khamou, Harald Krentel

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Dimitrios AndrikosDepartment of Gynecology, Obstetrics and Gynecologic Oncology, Academic Teaching Hospital Bethesda, Duisburg, Germany. dimitrisandrikos@yahoo.gr.
Argyrios AndrikosDepartment of Gynecology, Obstetrics and Gynecologic Oncology, Academic Teaching Hospital Bethesda, Duisburg, Germany.
Antoine NaemDepartment of Gynecology, Obstetrics and Gynecologic Oncology, Academic Teaching Hospital Bethesda, Duisburg, Germany.
Olga EbertzDepartment of Gynecology, Obstetrics and Gynecologic Oncology, Academic Teaching Hospital Bethesda, Duisburg, Germany.
Rajesh DevassyCentre of Excellence in Gynecological Minimal Access Surgery and Oncology, Dubai London Clinic & Specialty Hospital, Dubai, 3371500, United Arab Emirates.
Rudy Leon De WildeUniversity Hospital for Gynecology, Pius-Hospital Oldenburg University Medicine, Oldenburg, Germany.
Michael KhamouDepartment of Radiology, Academic Teaching Hospital Bethesda, Duisburg, Germany.
Harald KrentelDepartment of Gynecology, Obstetrics and Gynecologic Oncology, Academic Teaching Hospital Bethesda, Duisburg, Germany.
Bethesda Hospital · INDubai Hospital · AEPius Hospital Oldenburg · DEUniversity of Bremen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced cancer of the cervical stump, occurring years after a laparoscopic supracervical hysterectomy (LASH), is a rare but serious clinical condition. Many patients who undergo a LASH are unaware of this possible complication. Upon diagnosis of advanced cervical stump cancer, a holistic approach including imaging, laparoscopic surgery and multimodal oncological therapy is required. CASE PRESENTATION: A 58-year-old patient presented to our department with the suspicion of advanced cervical stump cancer eight years after LASH. She reported pelvic pain, irregular vaginal bleedings and irregular discharge. Gynaecological examination revealed a locally advanced tumor of the uterine cervix with suspicion of infiltration of the left parametria and bladder. After thorough diagnostic imaging and laparoscopic staging, the tumor stage was determined as FIGO IIIB and the patient was treated with combined radiochemotherapy. The patient presented with tumor recurrence 5 months after the completion of therapy and she is currently being treated with multichemotherapy and immunotherapy regimens as palliative treatment.

conclusionPatients should be made aware about the risk of cervical stump carcinoma after LASH and the necessity for regular screening. Cervical cancer after LASH is often diagnosed at advanced stages and the treatment requires an interdisciplinary approach.

Indexed as

HysterectomyLaparoscopyUterine Cervical NeoplasmsCombined Modality TherapyFemaleHumansLymph Node ExcisionMiddle AgedNeoplasm Recurrence, LocalCervical CancerCervical dysplasiaHuman papilloma virusLaparoscopic lymphadenectomySupracervical hysterectomy

Identifiers

PMID37221579
PMCPMC10207595
OpenAlexW4377939102

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.