cancer of the cerivx cervical cancer
Conditions
Interventions
Arm 1 - Radical Hysterectomy (Type 2)
This procedure may be performed abdominally, laparoscopically, robotically or
vaginally. The uterus, cervix, medial 1/3 of parametria, 2 cm of the
uterosacral l
Sponsors
Leids Universitair Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: squamous of adenocarcinoma of the cervix
Exclusion criteria
Exclusion criteria: High risk histology (clear cell, small cell) Stage IA1 Evidence of lymph node metastasis or extra-uterine spead on pelvic MRI Neo-adjuvant chemotherapie Pregnancy Desire to preserve fertility
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Endpoint: pelvic relapse-free survival. Pelvic Relapse-Free Survival is defined as the date from randomization to the date of first documented reappearance (recurrence) of disease provided that this recurrence is in the pelvis. A pelvic recurrence is defined as a recurrence within the pelvis, below the pelvic brim and inferior to the L4-L5 vertebral level. Pelvic recurrences will include disease recurrence in the vaginal vault, parametrium and pelvic lymph nodes (including the common iliac nodes). In the intent-to-treat analysis, patients found to have more advanced stages of cervical cancer on sentinel node mapping, pelvic node dissection or other intraoperative findings consistent with pelvic disease will be considered to have pelvic disease relapse as of the date of the surgical procedure. These patients will be excluded from the per-protocol analysis. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the two treatment arms with respect to: - Extrapelvic relapse-free survival - Relapse-free survival (any site) - Overall survival - Treatment-related toxicity - Patient Reported Outcomes including global quality of life and measures of sexual health - Cost-effectiveness and cost-utility To observe rates of the following in this patient population: - Sentinel node detection - Parametrial involvement - Involvement of surgical margins - Pelvic node involvement | — |
Countries
Netherlands
Outcome results
None listed