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Article: Vaginal vault cytology in the routine follow-up of patients treated for endometrial carcinoma: Is it useful?

TitleVaginal vault cytology in the routine follow-up of patients treated for endometrial carcinoma: Is it useful?
Authors
Issue Date1997
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANZJOG
Citation
Australian And New Zealand Journal Of Obstetrics And Gynaecology, 1997, v. 37 n. 1, p. 104-106 How to Cite?
AbstractRoutine follow-up visits and vault cytology following treatment for endometrial carcinoma generates a considerable workload and takes up valuable resources. A review is needed to evaluate the usefulness of this practice. Eighty six patients treated and followed-up from January, 1987 to July, 1994 were reviewed. The standard follow-up protocol consisted of physical assessment and vault cytology every 1 to 2 months for the first 2 years, every 3 months for the third year and every 6 months thereafter for at least 5 years. Recurrences were defined as histologically proven disease after a 3-month disease free interval. Fourteen patients (17%) developed recurrences. Two of the 14 patients (14%) had local recurrences in the pelvis. Only 3 of these recurrences were detected during routine follow-up. Vault cytology was negative in all patients with recurrences even when the recurrence occurred locally in the pelvis. Traditional surveillance protocols were ineffective in the detection of recurrences. Vault cytology was particularly ineffective. It was calculated that 1 recurrence was detected for every 606 visits. In this age of budgetary constraints, alternative follow-up protocols should be explored.
Persistent Identifierhttp://hdl.handle.net/10722/87471
ISSN
2015 Impact Factor: 1.738
2015 SCImago Journal Rankings: 0.814
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNg, TYen_HK
dc.contributor.authorNgan, HYSen_HK
dc.contributor.authorCheng, DKLen_HK
dc.contributor.authorWong, LCen_HK
dc.date.accessioned2010-09-06T09:30:05Z-
dc.date.available2010-09-06T09:30:05Z-
dc.date.issued1997en_HK
dc.identifier.citationAustralian And New Zealand Journal Of Obstetrics And Gynaecology, 1997, v. 37 n. 1, p. 104-106en_HK
dc.identifier.issn0004-8666en_HK
dc.identifier.urihttp://hdl.handle.net/10722/87471-
dc.description.abstractRoutine follow-up visits and vault cytology following treatment for endometrial carcinoma generates a considerable workload and takes up valuable resources. A review is needed to evaluate the usefulness of this practice. Eighty six patients treated and followed-up from January, 1987 to July, 1994 were reviewed. The standard follow-up protocol consisted of physical assessment and vault cytology every 1 to 2 months for the first 2 years, every 3 months for the third year and every 6 months thereafter for at least 5 years. Recurrences were defined as histologically proven disease after a 3-month disease free interval. Fourteen patients (17%) developed recurrences. Two of the 14 patients (14%) had local recurrences in the pelvis. Only 3 of these recurrences were detected during routine follow-up. Vault cytology was negative in all patients with recurrences even when the recurrence occurred locally in the pelvis. Traditional surveillance protocols were ineffective in the detection of recurrences. Vault cytology was particularly ineffective. It was calculated that 1 recurrence was detected for every 606 visits. In this age of budgetary constraints, alternative follow-up protocols should be explored.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANZJOGen_HK
dc.relation.ispartofAustralian and New Zealand Journal of Obstetrics and Gynaecologyen_HK
dc.subject.meshEndometrial Neoplasms - pathology - surgeryen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshNeoplasm Recurrence, Local - prevention & controlen_HK
dc.subject.meshPostoperative Perioden_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshVagina - pathologyen_HK
dc.titleVaginal vault cytology in the routine follow-up of patients treated for endometrial carcinoma: Is it useful?en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-8666&volume=37&issue=1&spage=104&epage=106&date=1997&atitle=Vaginal+Vault+Cytology+In+The+Routine+Follow-up+of+Patients+Treated+for+Endometrial+Carcinoma:+Is+It+Useful?en_HK
dc.identifier.emailNgan, HYS:hysngan@hkucc.hku.hken_HK
dc.identifier.authorityNgan, HYS=rp00346en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1479-828X.1997.tb02229.x-
dc.identifier.pmid9075559-
dc.identifier.scopuseid_2-s2.0-0031057993en_HK
dc.identifier.hkuros22753en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031057993&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume37en_HK
dc.identifier.issue1en_HK
dc.identifier.spage104en_HK
dc.identifier.epage106en_HK
dc.identifier.isiWOS:A1997WJ62500022-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridNg, TY=7402229853en_HK
dc.identifier.scopusauthoridNgan, HYS=34571944100en_HK
dc.identifier.scopusauthoridCheng, DKL=7402806161en_HK
dc.identifier.scopusauthoridWong, LC=7402092003en_HK

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