علاج انتكاس سرطان عنق الرحم في الحوض المركزي دون إصابة الجدار الجانبي أو الصفاق، في المرضى غير المعالجين بالإشعاع

References

DOI: 10.1016/j.ijgc.2025.102747

• Pelvic exenteration is recommended for central pelvic recurrence where there is no involvement of the pelvic sidewall, extra-pelvic nodes, or peritoneal disease.
• Definitive chemoradiotherapy combined with image-guided adaptive brachytherapy is the treatment of choice in radiotherapy naïve patients.
• Pelvic exenteration should be considered if a complete surgical removal of a tumor, R0 resection, can be achieved, and perioperative management as well as long-term support can be offered.
• When radical radiotherapy is not feasible, extended pelvic surgery can be considered. Surgery must aim for a complete tumor resection (R = 0), also with the help of special techniques (laterally extended endopelvic resection), if required.