0000000000757253

AUTHOR

Malgorzata Lanowska

showing 6 related works from this author

Laparoscopic pelvic lymphadenectomy in 32 pregnant patients with cervical cancer: Rationale, description of the technique, and outcome

2014

ObjectiveIndividualized treatment of pregnant patients with cervical cancer is mandatory; hence, information on nodal status is pivotal to allow a waiting strategy in early-stage disease.We aimed to verify the oncological safety and surgical reproducibility of a standardized laparoscopic pelvic lymphadenectomy in pregnant patients with cervical cancer.MethodsWe standardized laparoscopic pelvic lymphadenectomy during the first and second term of gestation in 32 patients with cervical cancer since 1999. According to gestational week (GW) of less than 16 GWs or more than 16 GWs, 2 different techniques were used.ResultsThe International Federation of Gynecology and Obstetrics stages were IA in …

Adultmedicine.medical_specialtyUterine Cervical NeoplasmStagingPelvimedicine.medical_treatmentUterine Cervical NeoplasmsPelvisObstetrics and gynaecologyPregnancyLaparotomymedicineHumansLaparoscopyLymph nodePelvisNeoplasm StagingCervical cancerPregnancymedicine.diagnostic_testbusiness.industryLymph NodeObstetrics and GynecologyLymphadenectomymedicine.diseaseSurgeryPregnancy Trimester Firstmedicine.anatomical_structureOncologyPregnancy Trimester SecondCervical cancerLymph Node ExcisionLymphadenectomyLaparoscopyFemaleLymph NodesbusinessPregnancy Complications NeoplasticHuman
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Prevalence of lymph nodes in the parametrium of radical vaginal trachelectomy (RVT) specimen

2011

Objective: In order to evaluate radicality in fertility preserving surgery in women with early invasive cervical cancer we analyzed the parametrium of specimens of patients treated by radical vaginal trachelectomy for the presence of lymph nodes. We tried to identify morphologic factors associated with the presence of parametrial lymph nodes. Methods: We analyzed surgical specimens of 112 patients who underwent radical trachelectomy between June 2004 and April 2009 at the Department of Gynecologic Oncology at Charité Campus Benjamin Franklin and Campus Mitte. All parametrial tissue was step sectioned and a total of 1878H&E stained histological sections were analyzed. Results: In 8 patients …

Adultmedicine.medical_specialtyUterine Cervical NeoplasmBroad LigamentEarly stage cervical cancerUterine Cervical NeoplasmsHistopathologyRadical vaginal trachelectomyTrachelectomyGynecologic oncologyMetastasisGynecologic Surgical ProceduresGynecologic Surgical ProcedureParametriummedicinePrevalenceHumansCervical cancerbusiness.industryParametrialLymph NodeObstetrics and GynecologyLymphatic Metastasimedicine.diseaseImmunohistochemistrySurgeryEarly stage cervical cancer; Radical vaginal trachelectomy; Parametrial resectionmedicine.anatomical_structureParametrial lymph nodeOncologyLymphatic MetastasisParametrial resectionHistopathologyFemaleLymph NodesLymphbusinessHuman
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Vaginal-assisted laparoscopic radical hysterectomy: rationale, technique, results.

2012

The authors conclude that vaginal-assisted laparoscopic radical hysterectomy is an oncologic viable alternative to abdominal radical hysterectomy, laparoscopic-assisted radical vaginal hysterectomy, totally laparoscopic radical hysterectomy, and robotic radical hysterectomy.

AdultUterine Cervical Neoplasmmedicine.medical_specialtymedicine.medical_treatmentUterine Cervical NeoplasmsUrologic complicationPostoperative ComplicationsUrologic complicationsmedicineHysterectomy VaginalScientific PapersHumansRadical hysterectomyEndometrial NeoplasmRadical HysterectomyStage (cooking)Survival analysisAgedNeoplasm StagingCervical cancerAged 80 and overHysterectomybusiness.industryPostoperative complicationMiddle Agedmedicine.diseaseSettore MED/40 - Ginecologia E OstetriciaSurvival AnalysisSurgeryEndometrial NeoplasmsLaparoscopic radical hysterectomymedicine.anatomical_structureTreatment OutcomeVaginaCervical cancerSurgeryFemaleLaparoscopyPostoperative ComplicationSurvival AnalysiCervical cancer; Laparoscopic radical hysterectomy; Urologic complicationsNeoplasm GradingLaparoscopic radical hysterectomybusinessHumanJSLS : Journal of the Society of Laparoendoscopic Surgeons
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Fertility outcome after radical vaginal trachelectomy: a prospective study of 212 patients.

2011

ObjectiveFor treatment in patients with early-stage cervical cancer, radical vaginal trachelectomy (RVT) as a fertility-preserving surgery can be put on a par with radical hysterectomy as to oncologic safety. Our aim was to investigate the fertility concerns and outcome.MethodsProspective collection of fertility data of patients treated with RVT. The data were collected on personal communication, by telephone, or e-mail correspondence. Descriptive statistical analysis was performed.ResultsBetween March 2005 and April 2010, 212 patients were followed up after RVT. Only 76 patients (35.9%) were seeking parenthood currently. Sixty pregnancies occurred in 50 women. Five patients (8.3%) had firs…

Fertility-preserving treatmentAdultmedicine.medical_specialtyUterine Cervical Neoplasmmedia_common.quotation_subjectRadical vaginal trachelectomyUterine Cervical NeoplasmsFertilityMiscarriageYoung AdultGynecologic Surgical ProceduresObstetrics and gynaecologyGynecologic Surgical ProcedurePregnancyEarly-stage cervical cancer; Fertility-preserving treatment; Pregnancy after cervical cancermedicineHumansFertility preservationProspective StudiesProspective cohort studymedia_commonNeoplasm StagingGynecologyCervical cancerPregnancyEctopic pregnancyObstetricsbusiness.industryPregnancy after cervical cancerMedicine (all)Pregnancy OutcomeObstetrics and GynecologyFertility PreservationMiddle Agedmedicine.diseaseSettore MED/40 - Ginecologia E OstetriciaProspective StudieTreatment OutcomeOncologyEarly-stage cervical cancerFemalebusinessHumanInternational journal of gynecological cancer : official journal of the International Gynecological Cancer Society
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Implication of the Examining Pathologist to Meet the Oncologic Standard of Lymph Node Count after Laparoscopic Lymphadenectomy

2010

<i>Objective:</i> The lymph node number as benchmark in oncologic operations depends on the patient’s anatomy, surgeon’s skill and pathologist’s accuracy. The influence of the pathologist is barely evaluated. <i>Methods:</i> A retrospective analysis of lymph node numbers after 700 laparoscopic lymphadenectomies in correlation to the examining pathologists was done. Three surgeons from the same department performed all operations at 2 campi, where 2 separate pathology institutions exist. Lymph node specimens were assigned randomly to any of the 62 involved pathologists. <i>Results:</i> The mean number of lymph nodes was equal for all surgeons. Lymph node s…

AdultMaleCancer Researchmedicine.medical_specialtyPathologyAdolescentPelviPathology Surgicalmedicine.medical_treatmentGynecologic oncologyMedical OncologyPelvisYoung AdultRetrospective StudieGynecologic oncology; Laparoscopic lymphadenectomy; Lymph node numberNeoplasmsHumansMedicineLaparoscopyLaparoscopic lymphadenectomyLymph nodeAgedNeoplasm StagingRetrospective StudiesAged 80 and overLaparoscopic lymphadenectomymedicine.diagnostic_testbusiness.industryGeneral surgeryLymph NodeGeneral MedicineMiddle AgedSettore MED/40 - Ginecologia E Ostetriciadigestive system diseasesEndoscopyGynecologic oncologysurgical procedures operativemedicine.anatomical_structureOncologyLymph node numberPractice Guidelines as TopicNeoplasmLymph Node ExcisionFemaleLaparoscopyLymphadenectomyLymph NodesbusinessHumanOncology
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Radical vaginal trachelectomy (RVT) combined with laparoscopic lymphadenectomy: Prospective study of 225 patients with early-stage cervical cancer

2011

Objective: The aim of the study was to prove the surgical and oncological safety of radical vaginal trachelectomy (RVT) and laparoscopic lymphadenectomy for patients with early-stage cervical cancer who are seeking parenthood. Methods: A database of 225 patients with early-stage cervical cancer and intention to treat by RVT after laparoscopic lymphadenectomy was prospectively maintained. A total of 212 patients were treated according to the protocol. The procedure was preformed in a standardized manner, and life table analysis was applied. Results: In the cohort of patients treated according to protocol, 8 recurrences occurred and 4 patients died from recurrence. The median follow-up time w…

Adultmedicine.medical_specialtyUterine Cervical NeoplasmUrologyUterine Cervical NeoplasmsRadical vaginal trachelectomyAdenocarcinomaYoung AdultGynecologic Surgical ProceduresGynecologic Surgical ProcedureVaginal TrachelectomyEarly-stage cervical cancer; Fertility-preserving surgery; Radical vaginal trachelectomyMedicineHumansProspective StudiesStage (cooking)Prospective cohort studyLaparoscopic lymphadenectomyCervical cancerLaparoscopic lymphadenectomyIntention-to-treat analysisbusiness.industryMedicine (all)Fertility-preserving surgeryObstetrics and GynecologyPerioperativeMiddle Agedmedicine.diseaseSettore MED/40 - Ginecologia E OstetriciaSurgeryProspective StudieOncologyEarly-stage cervical cancerCohortVaginaCarcinoma Squamous CellLymph Node ExcisionFemaleLaparoscopybusinessHuman
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