eMedicine Specialties > Obstetrics and Gynecology > Gynecologic Surgery

Pelvic Exenteration: Follow-up

Author: Margrit M Juretzka, MD, MS, Assistant Professor of Gynecologic Oncology, Stanford University Hospital and Clinics
Coauthor(s): Nelson Teng, MD, PhD, Associate Professor, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Stanford School of Medicine; Amreen Husain, MD, Assistant Professor, Department of Gynecology and Obstetrics, Stanford University School of Medicine
Contributor Information and Disclosures

Updated: Dec 22, 2008

Outcome and Prognosis

Reported 5-year survival rates after pelvic exenteration range from 23-61%. The most common site of recurrence is the pelvis. Poor prognostic factors associated with recurrence after exenteration include tumor size greater than 3 cm, pelvic sidewall or resection margin involvement, nodal metastasis, and time interval of less than 1 year from prior radiation treatment.

Future and Controversies

Controversy continues regarding the appropriate selection of patients for exenteration and the use of IORT, preexenteration chemotherapy, concomitant continent urinary diversion, and low rectal anastomosis.

 


More on Pelvic Exenteration

Overview: Pelvic Exenteration
Workup: Pelvic Exenteration
Treatment: Pelvic Exenteration
Follow-up: Pelvic Exenteration
References

References

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Further Reading

Keywords

pelvic exenteration, anterior exenteration, posterior exenteration, total exenteration, radical resection, supralevator exenteration, infralevator exenteration, vaginectomy, urethrectomy cervical cancer, vaginal cancer, vulvar cancer, uterine cancer, chemotherapy, intraoperative radiation therapy, IORT, ovarian cancer, cervical cancer, squamous cell carcinoma, adenocarcinomas of the cervix, rectal anastomosis, urinary diversion, vaginal reconstruction

Contributor Information and Disclosures

Author

Margrit M Juretzka, MD, MS, Assistant Professor of Gynecologic Oncology, Stanford University Hospital and Clinics
Margrit M Juretzka, MD, MS is a member of the following medical societies: American College of Obstetricians and Gynecologists and Society of Gynecologist Oncologists
Disclosure: Nothing to disclose.

Coauthor(s)

Nelson Teng, MD, PhD, Associate Professor, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Stanford School of Medicine
Disclosure: Nothing to disclose.

Amreen Husain, MD, Assistant Professor, Department of Gynecology and Obstetrics, Stanford University School of Medicine
Amreen Husain, MD is a member of the following medical societies: American Association for Cancer Research, American College of Obstetricians and Gynecologists, and Society of Gynecologist Oncologists
Disclosure: Nothing to disclose.

Medical Editor

Jeffrey B Garris, MD, Chief, Assistant Professor, Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Tulane University School of Medicine
Jeffrey B Garris, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Institute of Ultrasound in Medicine, American Medical Association, American Urological Association, Association of Professors of Gynecology and Obstetrics, Louisiana State Medical Society, Royal Society of Medicine, and Sigma Xi
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Michel E Rivlin, MD, Professor, Coordinator of Quality Assurance/Quality Improvement, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine
Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, and Royal College of Surgeons of Edinburgh
Disclosure: Nothing to disclose.

CME Editor

Frederick B Gaupp, MD, Consulting Staff, Department of Family Practice, Hancock Medical Center
Frederick B Gaupp, MD is a member of the following medical societies: American Academy of Family Physicians
Disclosure: Nothing to disclose.

Chief Editor

Michel E Rivlin, MD, Professor, Coordinator of Quality Assurance/Quality Improvement, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine
Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, and Royal College of Surgeons of Edinburgh
Disclosure: Nothing to disclose.

 
 
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