Authors
- Ghodratolah Maddah 1
- Mohammad Ali Mohammadzadeh Rezae 2
- Zohreh Yousefi Zohreh Yousefi 3
- Helena Azimi 4
- leila mousavi seresht 5
1 Professor, Department of Surgery, General surgeon, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Professor, Department of Urology, urologist, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Professor, Department of Obstetrics and Gynecology, Fellowship of Gynecology Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Fellowship of Gynecology Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Fellowship of Gynecology Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract
Pelvic exenteration and other type of super-radical procedure is the standard of care in the management of patients with recurrent or persistent cervical cancer. But, since the extent of surgery and possible morbidities are considered as an important challenge in low-resource countries, the present study tries to report the successful outcome of radical surgery in detailed in 7 cases in a low-economic setting. The most valuable point of success is the importance of the multidisciplinary decision, the necessity of experience in this field, psychological consultations with patients, and being prepared for the potential surgical complications. What we had noticed was the excellent survival prognosis even in curative intent. It is highly recommended, considering the psychological effect of such an extensive surgery and quality of life in these patients with advanced disease and loss of hope.
Keywords
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