Our Summary

The research paper discusses a study conducted at six large cancer centers in the U.S., which aimed to compare the number of radical hysterectomy surgeries, the stage of cervical cancer at diagnosis, and the time between diagnosis and treatment before and after the COVID-19 pandemic. The study, which included 561 patients diagnosed with cervical cancer between March 2018 and December 2021, found that during the pandemic, fewer surgeries were performed, more patients were diagnosed at later stages of the disease, and treatment was often delayed. This suggests that the pandemic has had a negative effect on the detection and treatment of cervical cancer, leading to a decrease in surgeries and a shift towards diagnosing more advanced stages of the disease.

FAQs

  1. What was the main purpose of the study conducted at the six large cancer centers in the U.S.?
  2. How has the COVID-19 pandemic affected the number of radical hysterectomy surgeries performed and the stage of cervical cancer at diagnosis?
  3. What impact has the pandemic had on the time between diagnosis and treatment of cervical cancer?

Doctor’s Tip

One helpful tip a doctor might give to a patient undergoing a radical hysterectomy is to follow the post-operative care instructions carefully. This may include taking prescribed medications, attending follow-up appointments, and slowly easing back into normal activities as recommended by your healthcare provider. It is important to listen to your body and communicate any concerns or changes in symptoms to your doctor promptly. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help support your recovery and overall well-being.

Suitable For

Patients who are typically recommended radical hysterectomy include those with early-stage cervical cancer (stages IA2, IB1, or IIA1) who are medically fit for surgery and do not desire future fertility. Radical hysterectomy is considered the standard of care for these patients and is performed with the goal of removing the cancerous tissue and preventing its spread to other organs. Additionally, patients with certain pre-cancerous conditions, such as severe dysplasia or carcinoma in situ, may also be recommended for radical hysterectomy to prevent the development of invasive cervical cancer. It is important for patients to discuss their individual circumstances with their healthcare provider to determine the most appropriate treatment plan for their specific situation.

Timeline

Before radical hysterectomy:

  • Patient is diagnosed with cervical cancer through screenings or symptoms
  • Consultation with a gynecologic oncologist to discuss treatment options
  • Preoperative evaluation and preparation for surgery
  • Surgery is scheduled and performed, removing the cervix, uterus, and surrounding tissues
  • Recovery period in the hospital and at home

After radical hysterectomy:

  • Follow-up appointments with the oncologist to monitor recovery and discuss further treatment if needed
  • Rehabilitation and physical therapy to regain strength and function
  • Monitoring for any signs of recurrence or complications
  • Adjustment to changes in physical and emotional well-being, such as menopausal symptoms or infertility
  • Long-term follow-up care to ensure ongoing health and well-being.

What to Ask Your Doctor

  1. What is a radical hysterectomy and why is it recommended for my condition?
  2. What are the potential risks and side effects of a radical hysterectomy?
  3. Are there alternative treatment options available for my condition?
  4. What is the recovery process like after a radical hysterectomy?
  5. How will a radical hysterectomy affect my future fertility and sexual function?
  6. What is the success rate of a radical hysterectomy for my specific type and stage of cervical cancer?
  7. How many radical hysterectomy surgeries have you performed and what is your experience with this procedure?
  8. What is the expected outcome and prognosis after a radical hysterectomy?
  9. Are there any additional treatments or follow-up care that I will need after the surgery?
  10. How has the COVID-19 pandemic affected the availability and timing of surgical treatments like radical hysterectomy for cervical cancer patients?

Reference

Authors: Wickenheisser NE, Dillon M, Broadwater G, Zacherl K, Bixel K, Levine M, Newton M, Thel H, Tucker K, Gehrig P, Khetan VU, Brunette-Masi LL, Matsuo K, Khouri OR, Duhon A, Gowthaman D, Cowan M, Mojdehbakhsh R, Rose S, Olawaiye A, Davidson BA, Moss HA, Havrilesky LJ. Journal: Gynecol Oncol. 2023 Dec;179:70-78. doi: 10.1016/j.ygyno.2023.10.010. Epub 2023 Nov 7. PMID: 37944328