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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1995-5-8
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pubmed:abstractText |
In a prospective study of 465 patients with invasive carcinoma of the uterine cervix, the prognostic impact of flow cytometric parameters (ploidy level and fraction of S-phase cells) and clinical variables was evaluated. Median follow-up time was 57 (32-80) months. A total of 230 patients died of cervical cancer during follow-up. Ploidy level had no prognostic significance, neither when analyzed as diploid against nondiploid nor when utilizing different cutoff levels for DNA index (1.3, 1.5, and 1.7). The fraction of S-phase cells (SPF) could be evaluated in 91% of the diploid cases but in only 22% of nondiploid cases. SPF had no prognostic impact. In multivariate analysis, FIGO stage was the only independent prognostic factor (P < 0.001). There was no difference between squamous cell, adeno, and adenosquamous carcinomas. A radical hysterectomy with pelvic lymphadenectomy was performed in 123 cases in stage I-IIA. In this subgroup, tumor size (P = 0.001), infiltration into the parametria (P = 0.005), vessel invasion (P = 0.008), and metastasis to the common iliac nodes (P = 0.013) obtained independent statistical significance in multivariate analysis, while ploidy level had no significance. Neither DNA ploidy nor S-phase analyses should be used in treatment planning.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0090-8258
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
57
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
79-85
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7705705-Adenocarcinoma,
pubmed-meshheading:7705705-Adult,
pubmed-meshheading:7705705-Aged,
pubmed-meshheading:7705705-Carcinoma, Adenosquamous,
pubmed-meshheading:7705705-Carcinoma, Squamous Cell,
pubmed-meshheading:7705705-DNA, Neoplasm,
pubmed-meshheading:7705705-Female,
pubmed-meshheading:7705705-Flow Cytometry,
pubmed-meshheading:7705705-Follow-Up Studies,
pubmed-meshheading:7705705-Humans,
pubmed-meshheading:7705705-Middle Aged,
pubmed-meshheading:7705705-Multivariate Analysis,
pubmed-meshheading:7705705-Ploidies,
pubmed-meshheading:7705705-Prognosis,
pubmed-meshheading:7705705-Prospective Studies,
pubmed-meshheading:7705705-S Phase,
pubmed-meshheading:7705705-Uterine Cervical Neoplasms
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pubmed:year |
1995
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pubmed:articleTitle |
No prognostic impact of flow-cytometric measured DNA ploidy and S-phase fraction in cancer of the uterine cervix: a prospective study of 465 patients.
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pubmed:affiliation |
Department of Gynecologic Oncology, Norwegian Radium Hospital, Oslo.
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pubmed:publicationType |
Journal Article,
Comparative Study
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