Evidence map›Paper›PMID 41906786›Full record

ArticleJournal of gynecologic oncology2026

One more opportunity in early-stage cervical cancer: the role of photodynamic therapy in managing positive surgical margins.

Alexander Dushkin, Tatyana Grishacheva, Stanislav Afanasiev, Irina Dushkina, Akmaral Khangeldi, Alexander Karaulov, Maxim Afanasyev

Abstract read
In one paragraph

Article in Journal of gynecologic oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Alexander DushkinMoscow Clinical Science and Research Center 52, Moscow, Russia. alex@drdushkin.ru.ORCID https://orcid.org/0000-0002-8013-5276
Tatyana GrishachevaI.P. Pavlov First St. Petersburg State Medical University, Saint-Petersburg, Russia.ORCID https://orcid.org/0000-0002-9515-914X
Stanislav AfanasievG.N. Gabrichevsky Research Institute for Epidemiology and Microbiology, Moscow, Russia.ORCID https://orcid.org/0000-0001-6497-1795
Irina DushkinaMoscow City Clinical Hospital 67, Moscow, Russia.ORCID https://orcid.org/0009-0000-3796-2279
Akmaral KhangeldiNJSC "Astana Medical University", Astana, Republic of Kazakhstan.ORCID https://orcid.org/0000-0003-0603-1230
Alexander KaraulovI.M. Sechenov First Moscow State Medical University, Moscow, Russia.ORCID https://orcid.org/0000-0002-1930-5424
Maxim AfanasyevI.M. Sechenov First Moscow State Medical University, Moscow, Russia.ORCID https://orcid.org/0000-0002-5860-4152

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate recurrence of squamous intraepithelial lesions (SILs) and human papillomavirus (HPV) infection after photodynamic therapy (PDT) in patients with early-stage cervical cancer (CC) and positive surgical margins.

methodsWe retrospectively analyzed 46 patients aged 25 to 52 years with stage IA-IB invasive CC treated with PDT. Chlorin e6-based photosensitizers were used to irradiate both the cervical canal and surface with standardized doses. Patients were stratified by residual tumor status (R

resultsAt 12 months, all patients achieved CR with complete HPV clearance and no residual lesions. At 48 months, overall RFS rate was 74.0% (95% confidence interval [CI]=49.5-87.9). SILs recurrence occurred in 3.7% of patients. Outcomes were slightly better in the R

conclusionPDT demonstrates promising efficacy as a minimally invasive, fertility-preserving treatment for early-stage CC with positive surgical margins. The high rate of HPV eradication and durable RFS support its evaluation as an adjunct or alternative to repeat surgery in selected patients.

Indexed as

PhotochemotherapyUterine Cervical NeoplasmsAdultChlorophyllidesDisease-Free SurvivalFemaleHuman Papillomavirus VirusesHumansMargins of ExcisionMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPapillomavirus InfectionsPathologic Complete ResponsePhotosensitizing AgentsPorphyrinsChlorophyllidesPhotosensitizing AgentsphytochlorinPorphyrinsCervical CancerFertility PreservationPapillomavirus InfectionsPhotodynamic TherapySurgical Margins

Identifiers

PMID41906786
PMCPMC13655351

What OpenQuestion holds

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Registered trials

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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.